NPI 1174049191

Charles L. Heaton , M.D. P.A.

Organisation Eyewear Supplier Tyler, TX

Practice location

Address: 3355 Earl Campbell Pkwy, Tyler, TX 75701-8435
Phone: (903) 526-0444
Mailing address: 1600 US Highway 79 S, Henderson, TX 75654-4508

Authorised official

Name: Judith C Hodges-Odom
Title: Credentialing
Phone: (903) 526-0444

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Texas →

Registry record

NPI: 1174049191
Entity type: Organization
NPI issued: 22 Aug 2017
Record last updated: 7 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.