Gregory D Heaton Od PA
Gregory D Heaton Od PA is a healthcare organization registered as Optometrist in Jay, FL, holding Type 2 (organization) NPI 1003090556 since 2007. The authorized official on file is Angel Kelley, Delegated Official.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003090556 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gregory D Heaton Od PA |
| Other name | <Unavail> |
| Practice address | 14088 ALABAMA ST, Jay, FL, 32565 |
| Phone | 8506750625 |
| Enumeration date | 2007-12-19 |
| Last updated in NPPES | 2022-06-15 |
Authorized official
| Name | Angel Kelley |
|---|---|
| Title | Delegated Official |
| Phone | 8506750625 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | OPC3531 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621048100 | Medicaid | FL | — |
Copy-ready billing details
Provider: Gregory D Heaton Od PA NPI: 1003090556 Taxonomy: 152W00000X (Optometrist) Address: 14088 ALABAMA ST, Jay, FL, 32565
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497710313 | John-Stewart Smith | Individual | Family Medicine Physician | Jay, FL |
| 1255398228 | Panhandle Rural Health Incorporated | Organization | Rural Health Clinic/Center | Jay, FL |
| 1871546515 | Cleatious Smith | Individual | Family Medicine Physician | Jay, FL |
| 1588605059 | Gregory Heaton | Individual | Optometrist | Jay, FL |
| 1679509079 | Twyla Cotton | Individual | Family Nurse Practitioner | Jay, FL |
| 1467597799 | Jay Pharmacy of Jay Florida Inc | Organization | Community/Retail Pharmacy | Jay, FL |
| 1689933467 | Jeffery S Kelley MD | Organization | Internal Medicine Physician | Jay, FL |
| 1497014161 | J S Michael Smith MD PA | Organization | Family Medicine Physician | Jay, FL |
Verify this record
Cross-check NPI 1003090556 against the authoritative CMS record: view Gregory D Heaton Od PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Gregory D Heaton Od PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-15.