Individual
DR. CLEMIT W LILES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2425 S ZERO ST, FORT SMITH, AR 72901-8663
(479) 763-1230
(479) 777-4614
Mailing address
17569 FISHTRAP RD STE 30, PROSPER, TX 75078-5122
(469) 715-0775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2626
AR
Other
Enumeration date
06/25/2009
Last updated
11/28/2023
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