CHARLES L. HEATON , M.D. P.A.
NPI 1124545413
Eyewear Supplier in Tyler, TX

NPI Status: Active since August 28, 2017

Contact Information

3355 EARL CAMPBELL PKWY
TYLER, TX
ZIP 75701
Phone: (903) 526-0444

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  • Organization
  • Eyewear Supplier
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About CHARLES L. HEATON , M.D. P.A.

This page provides the complete NPI Profile along with additional information for Charles L. Heaton , M.d. P.a., a provider established in Tyler, Texas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1124545413 assigned on August 2017. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Judith C Hodges-odom (Credentialing)

NPI
1124545413
Provider Legal Name
CHARLES L. HEATON , M.D. P.A.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3355 EARL CAMPBELL PKWY TYLER, TX 75701
Location Phone
(903) 526-0444
Mailing Address
3355 EARL CAMPBELL PKWY TYLER, TX 75701
Mailing Phone
(903) 526-0444
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-28-2017
Last Update Date
10-08-2025
Code Navigator



Charles L. Heaton , M.d. P.a. is a medicare supplier with PTAN 20674133 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

Location Map

Secondary Locations

  • 3415 Golden Rd
    Tyler, TX 75701
    (903) 526-0444

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUDITH C HODGES-ODOM

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(903) 526-0444

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20674133
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Provider Type List
PHYSICIAN – OPHTHALMOLOGY.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

Reviews for CHARLES L. HEATON , M.D. P.A.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124545413, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 0 + 4 + 1 + 0 + 4 + 2 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1124545413.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Optometrist
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Optometrist
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Optometrist
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Physician Assistant
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology (Glaucoma Specialist)
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Eyewear Supplier
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Clinic/Center (Ambulatory Surgical)
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124545413, enumerated as an "organization" on August 28, 2017.

The provider is located at 3355 EARL CAMPBELL PKWY TYLER, TX 75701 and the phone number is (903) 526-0444.

Eyewear Supplier with taxonomy code 332H00000X.