Charles L. Heaton , M.D. P.A.
Ophthalmology in Longview, TX. Organization (NPI-2).
NPI number1184140105
StatusActive
Last updated in NPPESOct 7, 2025
Details
- NPI
- 1184140105
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles L. Heaton , M.D. P.A.
- Organization subpart
- Yes
- Enumeration date
- Aug 22, 2017
- Certification date
- Oct 7, 2025
- Last updated
- Oct 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Heaton Eye Associates (Doing Business As)
- Heaton Eye Associates Optical Shop (Doing Business As)
Practice location
2394 H G Mosley PkwyLongview, TX 75604-3661
Phone 903-234-0771 · Fax 903-234-8950
Mailing address
2394 H G Mosley PkwyLongview, TX 75604-3661
Phone 903-234-0771 · Fax 903-234-8950
Authorized official
Terran L Smith
Business Manager
9035260444
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