OrganizationActive
C Wallace Liles III O D LLC
NPI 1376948687 · Optometrist · De Queen, AR
C Wallace Liles III O D LLC is a Optometrist organization in De Queen, AR (NPI 1376948687).
Provider details
- NPI number
- 1376948687
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- C Liles, Owner(479) 394-4215
- License
- 2331 (AR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
404d E Collin Raye Dr
De Queen, AR 71832-4149
Phone: (870) 642-6900
Fax: (870) 642-4928
Street-level locationGet directions
Mailing address
404d E Collin Raye Dr
De Queen, AR 71832-4149
Registry dates
- Enumerated
- 2014-10-29
- Last updated
- 2014-10-29
Frequently asked questions
- What is C Wallace Liles III O D LLC's NPI number?
- C Wallace Liles III O D LLC's National Provider Identifier (NPI) is 1376948687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is C Wallace Liles III O D LLC?
- C Wallace Liles III O D LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is C Wallace Liles III O D LLC located?
- C Wallace Liles III O D LLC's practice location on file with NPPES is 404d E Collin Raye Dr, De Queen, AR 71832-4149.
- What is C Wallace Liles III O D LLC's phone number?
- The practice phone number listed in the NPPES registry for C Wallace Liles III O D LLC is (870) 642-6900.
- Who is the authorized official for C Wallace Liles III O D LLC?
- The authorized official listed on C Wallace Liles III O D LLC's NPPES record is C Liles, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is C Wallace Liles III O D LLC's NPI active?
- Yes — C Wallace Liles III O D LLC's NPI (1376948687) is active in the NPPES registry as of the last update on 2014-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.