| NPI | 1184140105 |
|---|---|
| Doing Business As | HEATON EYE ASSOCIATES OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | TINA C HODGES Credentialing Specialist 903-526-0444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2023-08-09 |