Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
C. WALLACE LILES JR., O.D.
ActiveC. WALLACE LILES JR., O.D. is a Optometrist healthcare provider located in MENA, Arkansas. NPI 1184620049 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MENA, AR
Registration Details
- NPI Number
- 1184620049
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2005 (21.103780990231 yrs)
- Last Updated
- Jun 3, 2019
- License
-
AR2331 (AR)
Practice Information
- Address
-
208 MORROW ST SMENA, AR, 719532510Browse AR providers · Browse ZIP 71953
- Phone
- 4793944215
- Fax
- 4793943455
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in MENA, AR
| Name | Credential | NPI |
|---|---|---|
| DR. BILL J BELL | O.D. | 1669492781 |
| HOWARD LEON HALL | O.D. | 1699860007 |
| DR. RYANN KATHERINE ROLES | OD | 1154071389 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.