C. Wallace Liles, Jr Od Pa

  • 1275750606 NPI Number
  • |
  • Actived: 17 years ago
  • |
C. Wallace Liles, Jr Od Pa is a health care provider based in Mena, AR. The NPI Number is 1275750606 and it has been active since 17 years ago. The specialty is Optometrist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Optometrist services, C. Wallace Liles, Jr Od Pa is an excellent option. We are here to help you get the care you need.

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Overview of C. Wallace Liles, Jr Od Pa

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 04/19/2007
  • Last updated: 06/17/2009

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: AR2331
  • License State: AR

Provider Mailing Address

  • Address: 703j Highway 71 N
    Mena, AR 71953
  • Phone: 479-394-4215
  • Fax:

Provider Practice Location

  • Address: 703j Highway 71 N
    Mena, AR 71953
  • Phone: 479-394-4215
  • Fax:

Authorized Official

  • Name: DR. C. Wallace Liles JR. O.D.
  • Position/Title: Dr
  • Telephone Number: 479-394-4215

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: AR2331
  • License State: AR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 103836722
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: AR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for C. Wallace Liles, Jr Od Pa?
  • A: The npi number for C. Wallace Liles, Jr Od Pa is 1275750606.
  • Q: What are C. Wallace Liles, Jr Od Pa's specialties?
  • A: C. Wallace Liles, Jr Od Pa's specialties are Optometrist and different specialities.
  • Q: Where is C. Wallace Liles, Jr Od Pa business practice location?
  • A: C. Wallace Liles, Jr Od Pa business practice location is 703j Highway 71 N, Mena, AR 71953.
  • Q: How to contact C. Wallace Liles, Jr Od Pa?
  • A: You can contact C. Wallace Liles, Jr Od Pa via 479-394-4215.
  • Q: What is the authorized official for C. Wallace Liles, Jr Od Pa?
  • A: The authorized office name is DR. C. Wallace Liles JR. O.D. with position/title is Dr and you can reach the authorized official via phone number 4793944215.
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