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C Wallace Liles III O D LLC

Optometrist in De Queen, AR · enumerated 2014 · authorized official C Liles, Owner.

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

National Provider Identifier

1376948687

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Registry record

Entity type Organization (Type 2)
Legal business name C Wallace Liles III O D LLC
Practice address 404d E Collin Raye Dr, De Queen, AR, 71832
Phone (870) 642-6900
Fax (870) 642-4928
Enumeration date Oct 29, 2014
Last updated in NPPES Oct 29, 2014

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 2331 (AR) Primary

Authorized official

Name C Liles
Title Owner
Phone (479) 394-4215

Other identifiers

Identifier Type State Issuer
181897722 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 III O D LLC?
NPPES lists C Liles (Owner) as the authorized official for this organization.
What is the NPI number for C Wallace Liles III O D LLC?
The NPI for C Wallace Liles III O D LLC is 1376948687, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-29.