OrganizationActive
Charles L. Heaton , M.D. P.A.
NPI 1174049191 · Eyewear Supplier · Tyler, TX
Charles L. Heaton , M.D. P.A. is a Eyewear Supplier organization in Tyler, TX (NPI 1174049191).
Provider details
- NPI number
- 1174049191
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Charles L. Heaton , M.D. P.A.
- Organization subpart
- Yes
- Authorized official
- Judith Hodges-Odom, Credentialing(903) 526-0444
Specialties & taxonomies
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3355 Earl Campbell Pkwy
Tyler, TX 75701-8435
Phone: (903) 526-0444
Street-level locationGet directions
Mailing address
1600 US Highway 79 S
Henderson, TX 75654-4508
Other names (DBA / former)
- Doing business as
- Heaton Eye Associates Optical Shop
Registry dates
- Enumerated
- 2017-08-22
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Charles L. Heaton , M.D. P.A.'s NPI number?
- Charles L. Heaton , M.D. P.A.'s National Provider Identifier (NPI) is 1174049191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles L. Heaton , M.D. P.A.?
- Charles L. Heaton , M.D. P.A. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Charles L. Heaton , M.D. P.A. located?
- Charles L. Heaton , M.D. P.A.'s practice location on file with NPPES is 3355 Earl Campbell Pkwy, Tyler, TX 75701-8435.
- What is Charles L. Heaton , M.D. P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Charles L. Heaton , M.D. P.A. is (903) 526-0444.
- Who is the authorized official for Charles L. Heaton , M.D. P.A.?
- The authorized official listed on Charles L. Heaton , M.D. P.A.'s NPPES record is Judith Hodges-Odom, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles L. Heaton , M.D. P.A.'s NPI active?
- Yes — Charles L. Heaton , M.D. P.A.'s NPI (1174049191) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.