Charles L. Heaton, MD, PA
Charles L. Heaton, MD, PA is a healthcare organization registered as Optician in Longview, TX, holding Type 2 (organization) NPI 1649575291 since 2011. The authorized official on file is Judith Hodges-Odom, Credentialing Specialist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649575291 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Charles L. Heaton, MD, PA |
| Other name | <Unavail> |
| Practice address | 1205 N 6TH ST, Longview, TX, 75601 |
| Phone | 9032340771 |
| Fax | 9032340775 |
| Enumeration date | 2011-01-12 |
| Last updated in NPPES | 2023-08-09 |
Authorized official
| Name | Judith Hodges-Odom |
|---|---|
| Title | Credentialing Specialist |
| Phone | 9035260444 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 156FX1800X | Optician | Primary | — | — |
Copy-ready billing details
Provider: Charles L. Heaton, MD, PA NPI: 1649575291 Taxonomy: 156FX1800X (Optician) Address: 1205 N 6TH ST, Longview, TX, 75601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235278292 | Michelle Mccaskill | Individual | Physician Assistant | Longview, TX |
| 1497179147 | 1st Choice Pediatrics | Organization | Pediatrics Physician | Longview, TX |
| 1881356384 | Haley Pool | Individual | Pediatrics Physician | Longview, TX |
| 1689534083 | Julia Usher | Individual | Physician Assistant | Longview, TX |
| 1003748336 | Special Health Resources for Texas, Incorporated | Organization | Federally Qualified Health Center (FQHC) | Longview, TX |
Verify this record
Cross-check NPI 1649575291 against the authoritative CMS record: view Charles L. Heaton, MD, 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
Who is the authorized official for Charles L. Heaton, MD, PA?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-09.