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

Active since August 28, 2017
3355 EARL CAMPBELL PKWY, TYLER, TX 75701(903) 526-0444 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2025, May 22, 2025, Aug 9, 2023 and 2 more (5 updates tracked since 2017).

About Charles L. Heaton , M.d. P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES L. HEATON , M.D. P.A. (NPI 1124545413), doing business as Heaton Eye Assoicates Optical Shop, is a healthcare organization registered as an eyewear supplier in Tyler, Texas and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Tyler and lists Judith C Hodges-odom, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1124545413
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCHARLES L. HEATON , M.D. P.A.
Location Address3355 EARL CAMPBELL PKWYTyler, TX 75701-8435
Mailing Address3355 Earl Campbell PkwyTyler, TX 75701-8435 · (903) 526-0444 · Fax (903) 595-6650
Organization SubpartYes
Authorized OfficialJudith C Hodges-odomCredentialing · (903) 526-0444
Enumeration DateAugust 28, 2017
Last NPPES UpdateOctober 8, 20255 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1124545413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

3355 EARL CAMPBELL PKWY, Tyler, TX 75701

Other Names 1

Doing Business AsHeaton Eye Assoicates Optical Shop

Secondary Practice Location 1

Location 13415 Golden RdTyler, TX 75701-8355 · Phone (903) 526-0444 · Fax (903) 526-2051

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Heaton Eye Associates Optical Shop carries, from the Medicare DMEPOS supplier directory.

Heaton Eye Associates Optical Shop

DMEPOS supplier · Tyler, TXOperated by Charles L. Heaton , M.D. P.A.

Accepts Medicare assignment

Heaton Eye Associates Optical Shop agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20674133
Medicare Participant SinceMarch 16, 1990
Supplier Location3415 Golden RdTyler, TX 75701
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Optometrist
3355 EARL CAMPBELL PKWY
TYLER, TX 75701
Eyewear Supplier
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
Ophthalmology
3355 EARL CAMPBELL PKWY
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles L. Heaton , M.D. P.A.'s NPI number?

The NPI number for Charles L. Heaton , M.D. P.A. is 1124545413. It was assigned to this organization in the NPPES registry on August 28, 2017. The provider is doing business as Heaton Eye Assoicates Optical Shop.

Where is Charles L. Heaton , M.D. P.A. located?

Charles L. Heaton , M.D. P.A. is located at 3355 Earl Campbell Pkwy, Tyler, TX 75701. The listed phone number is (903) 526-0444.

What is Charles L. Heaton , M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Charles L. Heaton , M.D. P.A. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Heaton Eye Associates Optical Shop accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Charles L. Heaton , M.D. P.A. was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.