LILES VISION CLINIC
NPI 1275750606
Optometrist in Mena, AR

Q: What is C. Wallace Liles, Jr Od PA's NPI number?

The NPI number for C. Wallace Liles, Jr Od PA is 1275750606. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Liles Vision Clinic.

Q: What is C. Wallace Liles, Jr Od PA's specialty?

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

Active since April 19, 2007

703J HIGHWAY 71 N, MENA, AR 71953(479) 394-4215 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Liles Vision Clinic NPPES

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

LILES VISION CLINIC (NPI 1275750606) is a healthcare organization registered as an optometrist in Mena, Arkansas and active in the NPI registry since April 2007. The organization lists C. Wallace Liles, Dr, as its authorized official.

NPPES Registry Identity

NPI1275750606

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameC. WALLACE LILES, JR OD PA

Location Address703J HIGHWAY 71 NMena, AR 71953-4395

Mailing Address703j Highway 71 NMena, AR 71953-4395 · (479) 394-4215

Phone(479) 394-4215

Organization SubpartNo

Authorized OfficialC. Wallace LilesDr · (479) 394-4215

Enumeration DateApril 19, 2007

Last NPPES UpdateJune 17, 2009

✔ NPI 1275750606 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.

703J HIGHWAY 71 N, Mena, AR 71953

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Other Names 1

Doing Business AsLiles Vision Clinic

Other Identifiers 4

Medicare UPINT20165AR

Medicaid103836722AR

Medicare PIN48113AR

Medicare NSC0243260001AR

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, Jr Od PA's NPI number?

The NPI number for C. Wallace Liles, Jr Od PA is 1275750606. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Liles Vision Clinic.

Where is C. Wallace Liles, Jr Od PA located?

C. Wallace Liles, Jr Od PA is located at 703J Highway 71 N, Mena, AR 71953. The listed phone number is (479) 394-4215.

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 June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.