Most Relevant Information
Provider Data
| NPI Number: | 1003044355 |
| Provider Name: | CLEMIT W LILES O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 2626 |
Most Important Dates
| Enumeration Date: | 06/25/2009 |
| Last Updated: | 11/28/2023 |
Provider Practice Location
2425 S ZERO ST
FORT SMITH
AR
729018663
Practice Location Phone/Fax
| Phone: | 4797631230 |
| Fax: | 4797774614 |
Provider Mailing Location
17569 FISHTRAP RD STE 30
PROSPER
TX
750785122
Provider Mailing Phone/Fax
| Phone: | 4697150775 |
| Fax: |