C. Wallace Liles JR., O.D.

NPI #1184620049 in Mena, Arkansas

Provider Information

NPI Number: 1184620049
Entity Type: Individual
Name: C. Wallace Liles JR., O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 24, 2005
Last Updated: Jun 3, 2019

Practice Location

Address: 208 MORROW ST S
City: Mena
State: Arkansas
ZIP Code: 71953-2510
Phone: (479) 394-4215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Ryann Katherine Roles, OD	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 III O D LLC	Optometrist	Mena	AI Deep Dive
C. Wallace Liles, Jr Od PA	Optometrist	Mena	AI Deep Dive

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