MR. CHARLES E HEACOCK (OD) – Optometrist, NPI 1942294905

MR. CHARLES E HEACOCK (OD) is a healthcare provider. based in Deland, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OP0002236 (FL). The NPI Number for MR. CHARLES E HEACOCK (OD) is 1942294905

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES E HEACOCK (OD)
NPI
1942294905
Phone
(386) 734-1766
Address
840 N STONE ST
Enumeration Date
7 September 2005
Last Update Date
27 August 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3864451880
Graduation Year
1985 (41 years ago)
PAC ID
9436287083
Group Practice PAC ID
0143541037
Professional Enrollment ID
I20100514000128
Address ID
FL321648414PA15XXXWAYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

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Provider Addresses for MR. CHARLES E HEACOCK (OD)

  • 840, North Stone Street, DeLand, Volusia County, Florida, 32720, United States

    DELAND, FL 327203256

    Phone: (386) 734-1766

    Fax: (386) 740-7866

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $371.

Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Alcon Vision LLC ($126).

Total Amount

$371

General + Research + Ownership

Payments

6

Total payment records

General Amount

$371

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100514000128IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system119116$0
92250Photography of the retina8177$0
99212Established patient office or other outpatient visit, 10-19 minutes6356$0
99213Established patient office or other outpatient visit, 20-29 minutes4234$0
92004New patient complete exam of visual system2727$0
View full utilization report →

Insurance plans in this area (ZIP 32720)

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Provider's Procedures

MR. CHARLES E HEACOCK (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient4038
OPTOMETRYFL92083Measurement of field of vision during daylight conditions5449
OPTOMETRYFL92134Diagnostic imaging of retina6961

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143541037View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MR. CHARLES E HEACOCK (OD)?
The federal identifier for MR. CHARLES E HEACOCK (OD) is NPI 1942294905.
Is MR. CHARLES E HEACOCK (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. CHARLES E HEACOCK (OD) treat or focus on?
Patients typically see MR. CHARLES E HEACOCK (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is MR. CHARLES E HEACOCK (OD)'s primary listing?
We display Deland, Florida because that is what the record indicates for MR. CHARLES E HEACOCK (OD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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