Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
C. WALLACE LILES, JR OD PA
Active OrganizationC. WALLACE LILES, JR OD PA is a Optometrist organization located in MENA, Arkansas. NPI 1275750606 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MENA, AR
Registration Details
- NPI Number
- 1275750606
- Provider Type
- Organization
- NPI Issued
- Apr 19, 2007 (19.33258687785 yrs)
- Last Updated
- Jun 17, 2009
- License
-
AR2331 (AR)
Practice Information
- Address
-
703J HIGHWAY 71 NMENA, AR, 719534395Browse AR providers · Browse ZIP 71953
- Phone
- 4793944215
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Organizations in MENA, AR
| Name | NPI |
|---|---|
| MENA EYE CARE | 1528235090 |
| DR J. RICHARD CARVER, PA | 1497984231 |
| C WALLACE LILES III O D LLC | 1134524770 |
| MED SOUTHWEST, PLLC | 1467918763 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.