LILES VISION CLINIC
NPI 1316165178
Optometrist in De Queen, AR

Active since April 24, 2007
404D E COLLIN RAYE DR, DE QUEEN, AR 71832(870) 642-6900(870) 642-4928 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liles Vision Clinic NPPES

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

LILES VISION CLINIC (NPI 1316165178) is a healthcare organization registered as an optometrist in De Queen, Arkansas and active in the NPI registry since April 2007. The organization lists C. Wallace Liles, Dr., as its authorized official.

NPPES Registry Identity

NPI1316165178
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameC WALLACE LILES JR OD PA
Location Address404D E COLLIN RAYE DRDe Queen, AR 71832-4149
Mailing Address404d E Collin Raye DrDe Queen, AR 71832-4149 · (870) 642-6900 · Fax (870) 642-4928
Fax(870) 642-4928
Organization SubpartNo
Authorized OfficialC. Wallace LilesDr. · (870) 642-6900
Enumeration DateApril 24, 2007
Last NPPES UpdateSeptember 1, 2009
NPI 1316165178 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.
404D E COLLIN RAYE DR, De Queen, AR 71832

Other Names 1

Doing Business AsLiles Vision Clinic

Other Identifiers 3

Medicare PIN5B549
Medicaid113655722AR
Medicare NSC0243260003AR

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.

Optometrist
404D E COLLIN RAYE DR
DE QUEEN, AR 71832
Optometrist
404D E COLLIN RAYE DR
DE QUEEN, AR 71832

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 1316165178. It was assigned to this organization in the NPPES registry on April 24, 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 404D E Collin Raye Dr, De Queen, AR 71832. The listed phone number is (870) 642-6900.

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.