Individual provider Active NPI

David Edward Holck, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
National Provider Identifier
1548319601
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
N3735 Issued in TX
Practice address
1314 E Sonterra Blvd Ste 5104
San Antonio, TX 78258-4289
Phone
(210) 495-2367
Fax
(210) 495-0155
NPI assigned
Jan 9, 2007
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9300153 NC
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X N3735 TX Primary

Addresses

Primary practice location

1314 E Sonterra Blvd Ste 5104
San Antonio, TX 78258-4289

Mailing address

PO Box 592329
San Antonio, TX 78259-0166
Phone (210) 495-2367

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000406 TX Practitioner - Ophthalmology 6204974256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Facial and Oculoplastic Surgery Center of Texas PLLCGroup PAC ID 8527198415, 5 clinicians

Practice addresses (Care Compare)

1314 E Sonterra Blvd
Suite 5104
San Antonio, TX 78258-4289
Phone (210) 495-2367

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as group
Quality
84.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9300153NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1548319601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592329",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590166",
            "telephone_number": "210-495-2367",
            "fax_number": "210-495-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 5104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584289",
            "telephone_number": "210-495-2367",
            "fax_number": "210-495-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCK",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9300153",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N3735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.