C. WALLACE LILES, JR OD PA

Optometrist

Active Organization
NPI: 1275750606

Practice Address

703J HIGHWAY 71 N
Mena, AR 71953

Phone: (479) 394-4215

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes AR2331 (AR)

Frequently Asked Questions

NPI 1275750606 is the National Provider Identifier for C. WALLACE LILES, JR OD PA, a Optometrist provider located in Mena, AR. This NPI was enumerated on April 19, 2007.

Quick Facts

NPI
1275750606
Type
Organization
Enumerated
Apr 19, 2007
Last Updated
Jun 17, 2009

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