Charles L. Heaton , M.D. P.A.

Charles L. Heaton , M.D. P.A. is a healthcare organization registered as Eyewear Supplier in Tyler, TX, holding Type 2 (organization) NPI 1124545413 since 2017. The authorized official on file is Judith Hodges-Odom, Credentialing.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1124545413
Entity type	Organization (Type 2)
Legal business name	Charles L. Heaton , M.D. P.A.
Other name	<Unavail>
Parent organization	Charles L. Heaton , M.D. P.A.
Practice address	3355 EARL CAMPBELL PKWY, Tyler, TX, 75701
Phone	9035260444
Enumeration date	2017-08-28
Last updated in NPPES	2025-10-08

Authorized official

Name	Judith Hodges-Odom
Title	Credentialing
Phone	9035260444

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332H00000X	Eyewear Supplier	Primary	—	—

Copy-ready billing details

Provider: Charles L. Heaton , M.D. P.A.
NPI: 1124545413
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 3355 EARL CAMPBELL PKWY, Tyler, TX, 75701

Providers at this address

NPI	Name	Type	Specialty	Location
1326041377	Charles Heaton	Individual	Ophthalmology Physician	Tyler, TX
1376546226	Adam Dossey	Individual	Ophthalmology Physician	Tyler, TX
1720081664	Heaton Laser and Surgery Center L L C	Organization	Ambulatory Surgical Clinic/Center	Tyler, TX
1528127172	Charles L. Heaton , M.D. P.A.	Organization	Ophthalmology Physician	Tyler, TX
1740501972	Jordan Spindle	Individual	Ophthalmology Physician	Tyler, TX
1184936353	Matthew Marshall	Individual	Optometrist	Tyler, TX
1710285507	Morgan Green	Individual	Physician Assistant	Tyler, TX
1134566391	Christy Guenther	Individual	Optometrist	Tyler, TX

Verify this record

Cross-check NPI 1124545413 against the authoritative CMS record: view Charles L. Heaton , M.D. P.A. 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-08. Verify at npiregistry.cms.hhs.gov.

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

The practice location on file with NPPES is in Tyler, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-08.