OrganizationActive

C Wallace Liles Jr Od Pa

Optometrist

C. LILES

NPI: 1316165178De Queen, Arkansas, 71832(870) 642-6900

About C Wallace Liles Jr Od Pa

C Wallace Liles Jr Od Pa is a healthcare organization providing Optometrist services, registered under National Provider Identifier (NPI) number 1316165178. The authorized official for C Wallace Liles Jr Od Pa is C.

LILES. The organization is headquartered at 404D E COLLIN RAYE DR, De Queen, Arkansas 71832. The main office can be reached at (870) 642-6900. C Wallace Liles Jr Od Pa has been NPI-registered since 2007.

Locations & Contact

Primary Location

Address: 404D E COLLIN RAYE DR
City: De Queen
State: Arkansas
ZIP: 71832-4149
Phone: (870) 642-6900
Fax: (870) 642-4928

View on Google Maps

Authorized Official

Name: C. LILES

Mailing Address

Address: 404D E COLLIN RAYE DR
City: DE QUEEN
State: AR
ZIP: 718324149

NPI Registration

Enumeration Date: Apr 24, 2007
Last Updated: Sep 1, 2009
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty: Optometrist
Classification: Optometrist
Taxonomy Code: 152W00000X

Medicare Enrollment

Medicare Enrolled: No
Can Order/Refer: No
Telehealth: No
Excluded: No

Frequently Asked Questions

What is C Wallace Liles Jr Od Pa's NPI number?

C Wallace Liles Jr Od Pa's National Provider Identifier (NPI) is 1316165178. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does C Wallace Liles Jr Od Pa specialize in?

C Wallace Liles Jr Od Pa specializes in Optometrist.

Where is C Wallace Liles Jr Od Pa located?

C Wallace Liles Jr Od Pa practices at 404D E COLLIN RAYE DR, De Queen, Arkansas 71832. You can reach them by phone at (870) 642-6900.

Does C Wallace Liles Jr Od Pa accept Medicare?

Based on available data, C Wallace Liles Jr Od Pa is not currently enrolled in the Medicare program.

Does C Wallace Liles Jr Od Pa offer telehealth or virtual visits?

C Wallace Liles Jr Od Pa does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. C Wallace Liles Jr Od Pa holds NPI 1316165178, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.