OrganizationActive
C. Wallace Liles, Jr OD PA
NPI 1275750606 · Optometrist · Mena, AR
C. Wallace Liles, Jr OD PA is a Optometrist organization in Mena, AR (NPI 1275750606).
Provider details
- NPI number
- 1275750606
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- C. Liles, Dr(479) 394-4215
- 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
703j Highway 71 N
Mena, AR 71953-4395
Phone: (479) 394-4215
Street-level locationGet directions
Mailing address
703j Highway 71 N
Mena, AR 71953-4395
Other names (DBA / former)
- Doing business as
- Liles Vision Clinic
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2009-06-17
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 1275750606, 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 703j Highway 71 N, Mena, AR 71953-4395.
- 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) 394-4215.
- 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 (1275750606) is active in the NPPES registry as of the last update on 2009-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.