C Wallace Liles Iii O D Llc | |
703 Highway 71 N Ste J, Mena, AR 71953-4341 | |
(479) 394-4215 | |
(479) 394-3455 |
Full Name | C Wallace Liles Iii O D Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 703 Highway 71 N Ste J, Mena, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134524770 | NPI | - | NPPES |
181897722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2331 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
C Wallace Liles Iii O D Llc 703 Highway 71 N Ste J, Mena, AR 71953-4341 Ph: (479) 394-4215 | C Wallace Liles Iii O D Llc 703 Highway 71 N Ste J, Mena, AR 71953-4341 Ph: (479) 394-4215 |
C. Wallace Liles Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 208 Morrow St S, Mena, AR 71953 Phone: 479-394-4215 Fax: 479-394-3455 | |
Liles Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 703j Highway 71 N, Mena, AR 71953 Phone: 479-394-4215 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 208 Morrow St S, Mena, AR 71953 Phone: 479-394-4215 Fax: 479-394-3455 | |
Dr J. Richard Carver, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 601 Maple Ave, Mena, AR 71953 Phone: 479-394-2020 Fax: 479-394-2137 | |
Mena Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 600 Highway 71 N, Mena, AR 71953 Phone: 479-394-4083 Fax: 479-394-1117 | |
Dr. Bill J Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Highway 71 N, Mena, AR 71953 Phone: 479-394-4083 Fax: 479-394-1117 |