Charles L. Heaton , M.D. P.A.
NPI 1528127172ActiveOrganization· Ophthalmology· Tyler, TX
Ophthalmology in Tyler, Texas, registered in NPPES in December 2006. The authorized official on file is Judith C. Hodges-Odom, Credentialing Specialist. Enrolled in Medicare as dme supplier - optician and part b supplier - clinic/group practice.
Overview
| NPI | 1528127172 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2006 |
| Last updated in NPPES | Aug 27, 2025 |
| Certified by provider | Aug 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Optician (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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