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C WALLACE LILES III O D LLC
NPI 1376948687
Optometrist in De Queen, AR

Active since October 29, 2014
404D E COLLIN RAYE DR, DE QUEEN, AR 71832(870) 642-6900(870) 642-4928 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 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 1376948687) is a healthcare organization registered as an optometrist in De Queen, Arkansas and active in the NPI registry since October 2014. The organization lists C Wallace Liles, Owner, as its authorized official.

NPPES Registry Identity

NPI1376948687
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameC WALLACE LILES III O D LLC
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
Phone(870) 642-6900
Fax(870) 642-4928
Organization SubpartNo
Authorized OfficialC Wallace LilesOwner · (479) 394-4215
Enumeration DateOctober 29, 2014
✔ NPI 1376948687 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.
404D E COLLIN RAYE DR, De Queen, AR 71832
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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

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.

C WALLACE LILES JR OD PA
Optometrist
404D E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 642-6900
MED SOUTHWEST, PLLC
Optometrist
404D E COLLIN RAYE DR
DE QUEEN, AR 71832
Sevier County (870) 642-6900

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 1376948687. It was assigned to this organization in the NPPES registry on October 29, 2014.

Where is C Wallace Liles III O D LLC located?

C Wallace Liles III O D LLC 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 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 29, 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.