NPI 1124545413
Charles L. Heaton , M.D. P.A.
Practice location
- Address
- 3355 Earl Campbell Pkwy, Tyler, TX 75701-8435
- Phone
- (903) 526-0444
Authorised official
- Name
- Judith C Hodges-Odom
- Title
- Credentialing
- Phone
- (903) 526-0444
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1124545413
- Entity type
- Organization
- NPI issued
- 28 Aug 2017
- Record last updated
- 8 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.