Individual provider Active NPI

Douglas T Holle, O.D.

  • Optometrist
  • San Angelo, TX
National Provider Identifier
1215986252
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05129TG Issued in TX
Practice address
4450 Sunset Drive
San Angelo, TX 76901
Phone
(325) 658-1511
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05129TG TX Primary

Addresses

Primary practice location

4450 Sunset Drive
San Angelo, TX 76901

Mailing address

4241 Southwest Blvd
Ste 108
San Angelo, TX 76904-5687
Phone (325) 658-1511

Other identifiers 1

IdentifierTypeStateIssuer
116333905MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000522 TX Practitioner - Optometry 3476695107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Eye Care P.C.Group PAC ID 4082826011, 2 clinicians

Practice addresses (Care Compare)

4241 Southwest Blvd
Suite 108
San Angelo, TX 76904-5687
Phone (325) 949-6697

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05129TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Eye Care P.C. Optometrist CurrentSince Jul 23, 2001 Accepting new patients

Locations

4241 Southwest Blvd
Ste 108
San Angelo, TX 76904
Phone (325) 949-6697

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215986252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 SOUTHWEST BLVD",
            "address_2": "STE 108",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045687",
            "telephone_number": "325-658-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 SUNSET DRIVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76901",
            "telephone_number": "325-658-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLE",
        "first_name": "DOUGLAS",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05129TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116333905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.