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C WALLACE LILES JR OD PA
NPI 1043438807
Optometrist in Waldron, AR

Active since April 24, 2007
72 W 2ND ST, WALDRON, AR 72958(479) 637-5598(479) 637-1195 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About C Wallace Liles Jr Od Pa NPPES

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

C WALLACE LILES JR OD PA (NPI 1043438807), doing business as Liles Vision Clinic, is a healthcare organization registered as an optometrist in Waldron, Arkansas and active in the NPI registry since April 2007. The organization lists C. Wallace Liles, Dr., as its authorized official.

NPPES Registry Identity

NPI1043438807
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameC WALLACE LILES JR OD PA
Location Address72 W 2ND STWaldron, AR 72958-7085
Mailing Address72 W 2nd StWaldron, AR 72958-7085 · (479) 637-5598 · Fax (479) 637-1195
Phone(479) 637-5598
Fax(479) 637-1195
Organization SubpartNo
Authorized OfficialC. Wallace LilesDr. · (479) 637-5598
Enumeration DateApril 24, 2007
Last NPPES UpdateSeptember 1, 2009
✔ NPI 1043438807 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 · AR2331
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.
72 W 2ND ST, Waldron, AR 72958
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Other Names 1

Former Legal Business NameLiles Vision Clinic

Other Identifiers 3

Medicaid125850722AR
Medicare NSC0243260002AR
Medicare PIN5B550AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KAH DEVELOPMENT 4, LLC
Home Health
72 W 2ND ST
WALDRON, AR 72958
Scott County (479) 637-0914
ODYSSEY HEALTHCARE OPERATING A, LP
Home Health
72 W 2ND ST
WALDRON, AR 72958
Scott County (479) 637-0914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C Wallace Liles Jr Od PA's NPI number?

The NPI number for C Wallace Liles Jr Od PA is 1043438807. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider was formerly known as Liles Vision Clinic.

Where is C Wallace Liles Jr Od PA located?

C Wallace Liles Jr Od PA is located at 72 W 2nd St, Waldron, AR 72958. The listed phone number is (479) 637-5598.

What is C Wallace Liles Jr Od PA's specialty?

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

When was this NPI record last updated?

The NPPES record for C Wallace Liles Jr Od PA was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.