CHARLES L. HEATON , M.D. P.A. (NPI# 1528127172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528127172 |
| Entity Type | Organization |
| Organization Name | CHARLES L. HEATON , M.D. P.A. |
| Other Organization Name | HEATON EYE ASSOCIATES |
| Practice Address |
3415 Golden Rd Tyler TX 75701-8355 |
| Practice Telephone | 9035260444 |
| Practice Fax Number | 9035262051 |
| Mailing Telephone | 9035260444 |
| Mailing Fax Number | 9035262051 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | DR. CHARLES LAWSON HEATON (PRESIDENT) |
| Authorized Official Telephone | 9035260444 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HEATON EYE ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403738 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 1240 S Palestine St, Athens, TX 75751-3619 | 2017-08-22 |
| 1124545413 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 3415 Golden Rd, Tyler, TX 75701-8355 | 2017-08-28 |
| 1174049191 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 1600 Us Highway 79 S, Henderson, TX 75654-4508 | 2017-08-22 |
| 1184140105 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 2394 H G Mosley Pkwy, Longview, TX 75604-3661 | 2017-08-22 |
| Street Address |
3415 GOLDEN RD |
| City | TYLER |
| State | TX |
| Zip Code | 75701-8355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041377 | Charles Lawson Heaton | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-23 |
| 1124545413 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 3415 Golden Rd, Tyler, TX 75701-8355 | 2017-08-28 |
| 1134566391 | Christy Guenther | Optometrist | 3415 Golden Rd, Tyler, TX 75701-8355 | 2013-05-29 |
| 1184936353 | Matthew R Marshall | Optometrist | 3415 Golden Rd, Tyler, TX 75701-8355 | 2010-07-05 |
| 1740501972 | Jordan David Spindle | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2010-06-22 |
| 1184627044 | Mark G Lloyd | Optometrist | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-24 |
| 1760485627 | Todd Matthew Nickel | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-24 |
| 1376546226 | Adam Patrick Dossey | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-24 |
| 1720081664 | Heaton Laser & Surgery Center, LLC | Clinic/Center | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-24 |
| 1134122153 | Jeffrey Scot Hunter | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720199599 | Harshivinderjit Singh Bains | Ophthalmology | 1519 E Front St, Tyler, TX 75702-8504 | 2006-08-31 |
| 1669443370 | Leo W Mack Jr. | Ophthalmology | 5791 New Copeland Rd, Tyler, TX 75703-3905 | 2006-01-30 |
| 1326020736 | Michael C. Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701 | 2005-11-19 |
| 1225037955 | Dehaven Eye Clinic Pa | Ophthalmology | 1424 E Front St, Tyler, TX 75702-8501 | 2005-07-15 |
| 1477550184 | Thomas J. Dehaven | Ophthalmology | 1424 East Front, Tyler, TX 75702-8501 | 2005-07-07 |
| 1225035827 | Ming Lu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2005-06-28 |
| 1326041377 | Charles Lawson Heaton | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-23 |
| 1376069146 | Michael C Ford Md, Pllc | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | 2017-08-14 |
| 1306289186 | Jeremy Russell Cefalu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701 | 2013-04-11 |
| 1740501972 | Jordan David Spindle | Ophthalmology | 3415 Golden Rd, Tyler, TX 75701-8355 | 2010-06-22 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.