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Organization

CHARLES L. HEATON, MD, PA

Active
Parent organization
CHARLES L. HEATON, MD, PA
Other names
Heaton Eye Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHARLES L. HEATON, MD, PA
Authorized official
TERRAN L SMITH (REVENUE CYCLE MANAGER)
(903) 526-0444
Entity
Organization

Contact information

Practice address
2415 W MAIN ST, GUN BARREL CITY, TX 75156-3639
(903) 526-0444
(903) 595-6650
Mailing address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
06/12/2025
Last updated
07/29/2025
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