C Wallace Liles Jr Od Pa is a Optometrist Center in Waldron, Arkansas. It is situated at 72 W 2nd St, Waldron and its contact number is 479-637-5598. The authorized person of C Wallace Liles Jr Od Pa is Dr. C. Wallace Liles Jr.
who is Dr. of the clinic and their contact number is 479-637-5598. Primary license number for C Wallace Liles Jr Od Pa is AR2331 (Optometrist) in Arkansas. C Wallace Liles Jr Od Pa Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
C Wallace Liles Jr Od Pa Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
72 W 2nd St, Waldron, Arkansas, 72958-7085
Phone:
479-637-5598
Fax:
479-637-1195
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. C. Wallace Liles Jr.
Position:
Dr.
Contact Number:
479-637-5598
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for C Wallace Liles Jr Od Pa Center are as mentioned below.
NPI Number:
1043438807
NPI Enumeration Date:
24 Apr, 2007
NPI Last Update On:
01 Sep, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for C Wallace Liles Jr Od Pa are as mentioned below.
Specialization
License Number
State
Status
Optometrist
AR2331
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
125850722
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
C Wallace Liles Jr Od Pa 72 W 2nd St, Waldron, Arkansas
Zip:
72958-7085
Phone Number:
479-637-5598
Fax Number:
479-637-1195
Patients can reach C Wallace Liles Jr Od Pa at 72 W 2nd St, Waldron, Arkansas or can call to book an appointment on 479-637-5598. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.