Organization
CHARLES L. HEATON , M.D. P.A.
Active
Parent organization
CHARLES L. HEATON , M.D. P.A.
Other names
Heaton Eye Assoicates Optical Shop
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES L. HEATON , M.D. P.A.
Authorized official
JUDITH C HODGES-ODOM (CREDENTIALING)
(903) 526-0444
Entity
Organization
Contact information
Practice address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444
Mailing address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444
(903) 595-6650
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
10/08/2025
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