Charles L. Heaton , M.d. P.a.

NPI #1184140105 in Longview, Texas

Provider Information

NPI Number: 1184140105
Entity Type: Organization
Organization Name: Charles L. Heaton , M.d. P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: CHARLES L. HEATON , M.D. P.A.
Primary Specialty: Ophthalmology
Enumeration Date: Aug 22, 2017
Last Updated: Oct 7, 2025

Practice Location

Address: 2394 H G MOSLEY PKWY
City: Longview
State: Texas
ZIP Code: 75604-3661
Phone: (903) 234-0771

Authorized Official

Name: TERRAN L SMITH
Title: BUSINESS MANAGER
Phone: (903) 526-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Ophthalmology	207W00000X	Primary

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