Organization Active NPI

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

Doing business as Heaton Eye Associates Optical Shop

  • Eyewear Supplier
  • Tyler, TX
National Provider Identifier
1174049191
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CHARLES L. HEATON , M.D. P.A.
Doing business as
Heaton Eye Associates Optical Shop
Practice address
3355 Earl Campbell Pkwy
Tyler, TX 75701-8435
Phone
(903) 526-0444
NPI assigned
Aug 22, 2017
Organization subpart
Yes
Parent organization
CHARLES L. HEATON , M.D. P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435

Mailing address

1600 US Highway 79 S
Henderson, TX 75654-4508
Phone (903) 657-9571

Other names 1

  • Heaton Eye Associates Optical Shop Doing business as

National Provider Directory

National Provider Directory
Part of
Charles L Heaton MD PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1174049191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 US HIGHWAY 79 S",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756544508",
            "telephone_number": "903-657-9571",
            "fax_number": "903-655-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 EARL CAMPBELL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018435",
            "telephone_number": "903-526-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. HEATON , M.D. P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES L. HEATON , M.D. P.A.",
        "enumeration_date": "2017-08-22",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "HODGES-ODOM",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "903-526-0444"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heaton Eye Associates Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.