{
  "npi": "1043438807",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "O.D.",
    "authorized_official_first_name": "C.",
    "authorized_official_last_name": "LILES",
    "authorized_official_middle_name": "WALLACE",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "Jr.",
    "authorized_official_telephone_number": "4796375598",
    "authorized_official_title_or_position": "Dr.",
    "enumeration_date": "2007-04-24",
    "last_updated": "2009-09-01",
    "organization_name": "C WALLACE LILES JR OD PA",
    "organizational_subpart": "NO",
    "parent_organization_legal_business_name": " ",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "72 W 2ND ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WALDRON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-637-1195",
      "postal_code": "729587085",
      "state": "AR",
      "telephone_number": "479-637-5598"
    },
    {
      "address_1": "72 W 2ND ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WALDRON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-637-1195",
      "postal_code": "729587085",
      "state": "AR",
      "telephone_number": "479-637-5598"
    }
  ],
  "taxonomies": [
    {
      "code": "152W00000X",
      "desc": "Optometrist",
      "license": "AR2331",
      "primary": true,
      "state": "AR",
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Eye and Vision Service Providers — Optometrist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "41",
        "medicare_type": "Optometry"
      }
    ]
  }
}