OrganizationActive
C Wallace Liles Jr OD PA
NPI 1043438807 · Optometrist · Waldron, AR
C Wallace Liles Jr OD PA is a Optometrist organization in Waldron, AR (NPI 1043438807).
Provider details
- NPI number
- 1043438807
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- C. Liles, Dr.(479) 637-5598
- License
- AR2331 (AR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
72 W 2nd St
Waldron, AR 72958-7085
Phone: (479) 637-5598
Fax: (479) 637-1195
Street-level locationGet directions
Mailing address
72 W 2nd St
Waldron, AR 72958-7085
Other names (DBA / former)
- Former legal business name
- Liles Vision Clinic
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2009-09-01
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 1043438807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is C Wallace Liles Jr OD PA?
- C Wallace Liles Jr OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is C Wallace Liles Jr OD PA located?
- C Wallace Liles Jr OD PA's practice location on file with NPPES is 72 W 2nd St, Waldron, AR 72958-7085.
- What is C Wallace Liles Jr OD PA's phone number?
- The practice phone number listed in the NPPES registry for C Wallace Liles Jr OD PA is (479) 637-5598.
- Who is the authorized official for C Wallace Liles Jr OD PA?
- The authorized official listed on C Wallace Liles Jr OD PA's NPPES record is C. Liles, Dr.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is C Wallace Liles Jr OD PA's NPI active?
- Yes — C Wallace Liles Jr OD PA's NPI (1043438807) is active in the NPPES registry as of the last update on 2009-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.