C Wallace Liles III O D LLC

NPI #1134524770 in Mena, Arkansas

Provider Information

NPI Number: 1134524770
Entity Type: Organization
Organization Name: C Wallace Liles III O D LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 24, 2014
Last Updated: Oct 24, 2014

Practice Location

Address: 703 HIGHWAY 71 N STE J
City: Mena
State: Arkansas
ZIP Code: 71953-4341
Phone: (479) 394-4215

Authorized Official

Name: DR. C WALLACE LILES III, OD
Title: OWNER
Phone: (479) 394-4215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Ryann Katherine Roles, OD	Optometrist	Mena	AI Deep Dive
C. Wallace Liles JR., O.D.	Optometrist	Mena	AI Deep Dive
DR. Bill J Bell, O.D.	Optometrist	Mena	AI Deep Dive
Howard Leon Hall, O.D.	Optometrist	Mena	AI Deep Dive

Organizations

Provider Name	Specialty	City
C. Wallace Liles, Jr Od PA	Optometrist	Mena	AI Deep Dive

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