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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

C WALLACE LILES JR OD PA

Active Organization

C WALLACE LILES JR OD PA is a Optometrist organization located in DE QUEEN, Arkansas. NPI 1316165178 is currently active in the NPPES registry. Verify at CMS.

Optometrist · DE QUEEN, AR

Registration Details

NPI Number
1316165178
Provider Type
Organization
NPI Issued
Apr 24, 2007 (19.327347592539 yrs)
Last Updated
Sep 1, 2009
License
AR2331 (AR)

Practice Information

Address
404D E COLLIN RAYE DR
DE QUEEN, AR, 718324149
Browse AR providers · Browse ZIP 71832
Phone
8706426900
Fax
8706424928
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in DE QUEEN, AR

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.