C Wallace Liles III O D LLC
NPI 1376948687ActiveOrganization· Optometrist· De Queen, AR
Optometrist in De Queen, Arkansas, registered in NPPES in October 2014. The authorized official on file is C Wallace Liles, OD, Owner.
Overview
| NPI | 1376948687 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2014 |
| Last updated in NPPES | Oct 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2331 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in De Queen
- 1619308541
- 1316165178
- 1841756137