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C Wallace Liles Jr Od PA

Optometrist in Waldron, AR · enumerated 2007 · authorized official C. Liles, Dr..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043438807

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Registry record

Entity type Organization (Type 2)
Legal business name C Wallace Liles Jr Od PA
Other name <Unavail>
Practice address 72 W 2nd St, Waldron, AR, 72958
Phone (479) 637-5598
Fax (479) 637-1195
Enumeration date Apr 24, 2007
Last updated in NPPES Sep 1, 2009

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License AR2331 (AR) Primary

Authorized official

Name C. Liles
Title Dr.
Phone (479) 637-5598

Other identifiers

Identifier Type State Issuer
125850722 Medicaid AR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for C Wallace Liles Jr Od PA?
NPPES lists C. Liles (Dr.) as the authorized official for this organization.
What is the NPI number for C Wallace Liles Jr Od PA?
The NPI for C Wallace Liles Jr Od PA is 1043438807, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-01.