Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles L. Heaton , MD PA

Organization Eyewear Supplier · NPI 1174049191

Charles L. Heaton , MD PA is an Eyewear Supplier in Tyler, Texas. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435
Phone: (903) 526-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1174049191
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCharles L. Heaton , MD PA
Authorized official Judith Hodges-Odom — Credentialing · (903) 526-0444
Other names Heaton Eye Associates Optical Shop
NPI enumeratedAugust 22, 2017
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address1600 Us Highway 79 S, Henderson, TX 75654-4508

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