Organization · Type 2 NPI

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

Eyewear Supplier · Athens, TX

NPI number 1710403738 Active

Practice location

1240 S Palestine St
Athens, TX 75751-3619

Fax (903) 675-3888

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.

4 other providers at this address

Other eyewear supplier providers in Athens

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NPI record

NPI: 1710403738
Entity type: Organization (Type 2)
Issued: Aug 22, 2017
Last updated: Aug 10, 2023
Status: Active
Subpart: Yes of Charles L. Heaton , M.d. P.a.

Other names

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Heaton Eye Associates Optical Shop · doing business as

Authorized official

Judith C Hodges-Odom
Credentialing Specialist
(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 1710403738

Charles L. Heaton , M.d. P.a.'s National Provider Identifier is 1710403738, issued on Aug 22, 2017. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Athens, TX. The record was last updated on Aug 10, 2023.