Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
C WALLACE LILES III O D LLC
Active OrganizationC WALLACE LILES III O D LLC is a Optometrist organization located in DE QUEEN, Arkansas. NPI 1376948687 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DE QUEEN, AR
Registration Details
- NPI Number
- 1376948687
- Provider Type
- Organization
- NPI Issued
- Oct 29, 2014 (11.811778892671 yrs)
- Last Updated
- Oct 29, 2014
- License
-
2331 (AR)
Practice Information
- Address
-
404D E COLLIN RAYE DRDE QUEEN, AR, 718324149Browse AR providers · Browse ZIP 71832
- Phone
- 8706426900
- Fax
- 8706424928
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Organizations in DE QUEEN, AR
| Name | NPI |
|---|---|
| C WALLACE LILES JR OD PA | 1316165178 |
| BOWMAN FAMILY EYE CARE PLLC | 1619308541 |
| MED SOUTHWEST, PLLC | 1841756137 |
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.