HEATON EYE ASSOCIATES OPTICAL SHOP
NPI 1710403738
Eyewear Supplier in Athens, TX

Active since August 22, 2017
1240 S PALESTINE ST, ATHENS, TX 75751(903) 675-8111(903) 675-3888 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 10, 2023, Jul 21, 2022, Mar 13, 2018 and 1 more (4 updates tracked since 2017).

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

About HEATON EYE ASSOCIATES OPTICAL SHOP

This page provides the complete NPI Profile along with additional information for Heaton Eye Associates Optical Shop, a provider established in Athens, Texas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1710403738 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 3 years ago. The provider's is doing business as Heaton Eye Associates Optical Shop. The authorized official of this NPI record is Judith C Hodges-odom (Credentialing Specialist)

NPI
1710403738 Verify this NPI
Provider Legal Name
CHARLES L. HEATON , M.D. P.A.
Other Organization Name
HEATON EYE ASSOCIATES OPTICAL SHOP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1240 S PALESTINE ST ATHENS, TX 75751
Location Phone
(903) 675-8111
Location Fax
(903) 675-3888
Mailing Address
1240 S PALESTINE ST ATHENS, TX 75751
Mailing Phone
(903) 675-8111
Mailing Fax
(903) 675-3888
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-22-2017
Last Update Date
08-10-2023
Code Navigator



Heaton Eye Associates Optical Shop is a medicare supplier with PTAN 20674139 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

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 SPECIALIST
Authorized Official Phone
(903) 526-0444

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20674139
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 HEATON EYE ASSOCIATES OPTICAL SHOP

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
1240 S PALESTINE ST
ATHENS, TX 75751
Ophthalmology
1240 S PALESTINE ST
ATHENS, TX 75751
Ophthalmology
1240 S PALESTINE ST
ATHENS, TX 75751
Optometrist
1240 S PALESTINE ST
ATHENS, TX 75751

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710403738, enumerated as an "organization" on August 22, 2017.

The provider is located at 1240 S PALESTINE ST ATHENS, TX 75751 and the phone number is (903) 675-8111.

Eyewear Supplier with taxonomy code 332H00000X.