C. Wallace Liles, Jr Od PA

NPI #1275750606 in Mena, Arkansas

Provider Information

NPI Number: 1275750606
Entity Type: Organization
Organization Name: C. Wallace Liles, Jr Od PA
Primary Specialty: Optometrist
Enumeration Date: Apr 19, 2007
Last Updated: Jun 17, 2009

Practice Location

Address: 703J HIGHWAY 71 N
City: Mena
State: Arkansas
ZIP Code: 71953-4395
Phone: (479) 394-4215

Authorized Official

Name: DR. C. WALLACE LILES JR., O.D.
Title: DR
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 III O D LLC	Optometrist	Mena	AI Deep Dive

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