CHARLES L. HEATON M.D. P.A. NPI 1124545413

NPI Information

NPI: 1124545413
Provider Name: CHARLES L. HEATON , M.D. P.A.

Doing Business As: HEATON EYE ASSOICATES OPTICAL SHOP

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3415 GOLDEN RD
TYLER, TX
ZIP 75701
Phone: (903) 526-0444
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CHARLES L. HEATON , M.D. P.A. is an eyewear supplier in Tyler, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CHARLES L. HEATON , M.D. P.A. NPI is 1124545413. The provider is registered as an organization entity type.
The provider Is Doing Business As Heaton Eye Assoicates Optical Shop.

The provider's business location address is:

3415 GOLDEN RD
TYLER, TX
ZIP 75701-355
Phone: (903) 526-0444
Fax: (903) 526-2051

The provider's authorized official is Tina C Hodges .
The authorized official title is Credentialing Specialist and has the following contact phone number (903) 526-0444.

The enumeration date for this NPI number is 8/28/2017 and was last updated on 8/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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