| NPI | 1649575291 |
|---|---|
| Doing Business As | HEATON EYE ASSOCIATES OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | JUDITH HODGES-ODOM Credentialing Specialist 903-526-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2023-08-09 |