Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184620049 Individual Practitioner Male Practitioner

Dr. C. Wallace Liles , OD

Optometrist • Mena, AR

Professional Overview & Biography Verified Profile Summary

Dr. C. Liles, OD is a registered healthcare professional specializing in Optometrist in Mena, AR. Practice services are available at 208 MORROW ST S under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

208 Morrow St S

Mena, AR 719532510

Telephone 4793944215
Fax 4793943455
Associated Practice Facility / Clinic
🏢 Med Southwest, Pllc Facility NPI 1467918763

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mena, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Mena, AR (569 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
36 32 $79.72 $50.60
99213 Established patient office or other outpatient visit, typically 15 minutes
16 15 $123.75 $81.65

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AR AR2331

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
103836722 (AR)

Secondary Practice Locations

703j Highway 71 N

Mena, AR 719534395

Phone: 4793944215

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1154071389

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 03, 2019

Registered at 208 MORROW ST S, MENA, AR 719532510 (Tel: 4793944215)

NPI Profile Active June 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2009

Registered at 703J HIGHWAY 71 N, MENA, AR 719534395 (Tel: 4793944215)

📍
Updated Business Mailing Address June 26, 2009

Registered at 703J HIGHWAY 71 N, MENA, AR 719534395 (Tel: 4793944215)

👤
Provider Name / Credentials Updated June 26, 2009

Recorded as C. LILES, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2009

Optometrist (License #AR2331 in AR)

🟢
Initial NPI Registration & Enumeration June 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184620049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2005
Last Update: June 03, 2019
Sole Proprietor: No

Mailing Address

703j Highway 71 N

Mena, AR 719534395

Phone: 4793944215

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.