Individual
DR. LISA B CHILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001146
VA
152W00000X
Optometrist
Primary
1575
AZ
152WL0500X
Low Vision Rehabilitation Optometrist
1575
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010073685
—
VA
Enumeration date
03/17/2006
Last updated
02/12/2024
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