C WALLACE LILES III O D LLC
Optometrist
Active
Organization
NPI: 1134524770
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2331 (AR) |
Frequently Asked Questions
NPI 1134524770 is the National Provider Identifier for C WALLACE LILES III O D LLC, a Optometrist provider located in Mena, AR. This NPI was enumerated on October 24, 2014.
Quick Facts
- NPI
- 1134524770
- Type
- Organization
- Enumerated
- Oct 24, 2014
- Last Updated
- Oct 24, 2014
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