Heaton Laser and Surgery Center L L C

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

000377 Issued in TX

Legal business name

HEATON LASER AND SURGERY CENTER L L C

Practice address

3355 Earl Campbell Pkwy
Tyler, TX 75701-8435

Phone

(903) 526-0444

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Terran L Smith

Title

DRC

Phone

(903) 526-0444

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Listed as

Heaton Laser and Surgery Center LLCCCN 45C0001225

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Heaton Laser and Surgery Center LLCCCN 45C0451244

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alden Paige Gregston, MD

  • Ophthalmology Physician
  • Longview, TX
  • NPI 1538620174
  NPD
• Logan Russ Vincent, M.D.

  • Ophthalmology Physician
  • Tyler, TX
  • NPI 1760844906
  NPD
• Braden Wilson, MD

  • Ophthalmology Physician
  • Tyler, TX
  • NPI 1558820381
  NPD
• Charles Lawson Heaton, M. D.

  • Ophthalmology Physician
  • Tyler, TX
  • NPI 1326041377
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1720081664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 EARL CAMPBELL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018435",
            "telephone_number": "903-526-0444",
            "fax_number": "903-595-6650"
        },
        {
            "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": [
        {
            "address_1": "3415 Golden Rd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757018355",
            "country_code": "US",
            "telephone_number": "903-526-0444",
            "fax_number": "903-526-0996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEATON LASER AND SURGERY CENTER L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERRAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DRC",
        "authorized_official_telephone_number": "903-526-0444"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000377",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart to Heart Hospice of Tyler LTD
• Hayden Lee Heath Jr., M.S., BCBA, LBA
• Haley Heather, ATP
• Heaton Ear Nose and Throat Associates of East Texas P a (ENT Associates of East Texas)
• Heaton Health Services Agency LLC
• Charles Lawson Heaton, M. D.
• Steuart Lawrence Heaton, MD
• Travis Glenn Heaton, DDS
• Renee Suzanne Hebbeler-Clark, M.D.
• Marvin Heck, MD

• Ambulatory Surgical Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.