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C WALLACE LILES III O D LLC
NPI 1134524770
Optometrist in Mena, AR

Active since October 24, 2014
703 HIGHWAY 71 N STE J, MENA, AR 71953(479) 394-4215(479) 394-3455 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About C Wallace Liles Iii O D Llc NPPES

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

C WALLACE LILES III O D LLC (NPI 1134524770) is a healthcare organization registered as an optometrist in Mena, Arkansas and active in the NPI registry since October 2014. The organization lists C Wallace Liles, Owner, as its authorized official.

NPPES Registry Identity

NPI1134524770
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameC WALLACE LILES III O D LLC
Location Address703 HIGHWAY 71 N STE JMena, AR 71953-4341
Mailing Address703 Highway 71 N Ste JMena, AR 71953-4341 · (479) 394-4215 · Fax (479) 394-3455
Phone(479) 394-4215
Fax(479) 394-3455
Organization SubpartNo
Authorized OfficialC Wallace LilesOwner · (479) 394-4215
Enumeration DateOctober 24, 2014
✔ NPI 1134524770 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 · 2331
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.
703 HIGHWAY 71 N STE J, Mena, AR 71953
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Other Identifiers 3

Medicare UPIN5H901G256AR
Medicaid181897722AR
Medicare PIN5H901G256AR

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

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 III O D LLC's NPI number?

The NPI number for C Wallace Liles III O D LLC is 1134524770. It was assigned to this organization in the NPPES registry on October 24, 2014.

Where is C Wallace Liles III O D LLC located?

C Wallace Liles III O D LLC is located at 703 Highway 71 N Ste J, Mena, AR 71953. The listed phone number is (479) 394-4215.

What is C Wallace Liles III O D LLC'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 III O D LLC was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.