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Contact Information

LISA B CHILES, OD
1235 E HARMONT DR
PHOENIX, AZ85020-3864
 Phone: 602-331-1470
 Fax: 602-678-5819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for LISA B CHILES · (Female)

NPI Number 1922077189
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/17/2006
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 1575
  • VA License # 0618001146
  • VA License # 1575
  • VA Medicaid 010073685
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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