DR. CLEMIT W LILES III O.D.
NPI 1003044355
Optometrist in Fort Smith, AR

Q: What is Clemit Liles's NPI number?

The NPI number for Clemit Liles is 1003044355. It was assigned to this individual provider in the NPPES registry on June 25, 2009. The provider is also known as Dr. Clemit W Liles Od.

Q: What is Clemit Liles's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Clemit Liles was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment

2425 S ZERO ST, FORT SMITH, AR 72901(479) 763-1230(479) 777-4614 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2021, Oct 21, 2020, Jun 3, 2019 (3 updates tracked since 2019).

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About Dr. Clemit W Liles Iii O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLEMIT W LILES III O.D. (NPI 1003044355) is an individual optometrist in Fort Smith, Arkansas, licensed in Arkansas (2626) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2009).

NPPES Registry Identity

NPI1003044355

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CLEMIT W LILES IIICredential: O.D.

Location Address2425 S ZERO STFort Smith, AR 72901-8663

Mailing Address17569 Fishtrap Rd Ste 30Prosper, TX 75078-5122 · (469) 715-0775

Phone(479) 763-1230

Fax(479) 777-4614

Sole ProprietorYes

Medical School CMSSouthern College Of OptometryGraduated 2009

Enumeration DateJune 25, 2009

Last NPPES UpdateNovember 28, 20233 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1003044355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AR · 2626

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2425 S ZERO ST, Fort Smith, AR 72901

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Other Names 1

Other Name (5)Dr. Clemit W Liles Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clemit W Liles Iii O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597819748

PECOS Enrollment IDI20090821000560

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services15 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

13 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB MATLOCK

Pharmacist