Organization · Type 2 NPI

Charles L. Heaton , M.d. P.a.

Eyewear Supplier · Tyler, TX

NPI number 1124545413 Active

Practice location

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435

Call (903) 526-0444 Map

Other practice locations

3415 Golden Rd, Tyler, TX 75701-8355 · (903) 526-0444

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

15 other providers at this address

Other eyewear supplier providers in Tyler

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NPI record

NPI: 1124545413
Entity type: Organization (Type 2)
Issued: Aug 28, 2017
Last updated: Oct 8, 2025
Status: Active
Subpart: Yes of Charles L. Heaton , M.d. P.a.

Other names

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Heaton Eye Assoicates Optical Shop · doing business as

Authorized official

Judith C Hodges-Odom
Credentialing
(903) 526-0444

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124545413

Charles L. Heaton , M.d. P.a.'s National Provider Identifier is 1124545413, issued on Aug 28, 2017. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Tyler, TX. The record was last updated on Oct 8, 2025.