Sunset Eye Care P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5129TG Issued in TX

Legal business name

SUNSET EYE CARE P.C.

Practice address

4241 Southwest Blvd
Suite #108
San Angelo, TX 76904-5687

Phone

(325) 949-6697

Fax

(325) 947-5077

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Todd Holle, O.D.NPI 1215986252

Title

President

Phone

(325) 949-6697

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas T Holle, O.D.

  • Optometrist
  • San Angelo, TX
  • NPI 1215986252
  Medicare reassignment Care Compare group NPD Authorized official
• Laura L. Holle, O.D.

  • Optometrist
  • San Angelo, TX
  • NPI 1982612511
  Medicare reassignment Care Compare group NPD
• Lorenzo Bryant Anderson, OD

  • Optometrist
  • McKinney, TX
  • NPI 1740805795
  Medicare reassignment NPD
• Jodie May

  • Optometrist
  • Dallas, TX
  • NPI 1821663956
  Medicare reassignment NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1548462013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 SOUTHWEST BLVD",
            "address_2": "SUITE #108",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045687",
            "telephone_number": "325-949-6697",
            "fax_number": "325-947-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 SOUTHWEST BLVD",
            "address_2": "SUITE #108",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045687",
            "telephone_number": "325-949-6697",
            "fax_number": "325-947-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "HOLLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-949-6697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5129TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145569301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajesh P Subramania, MD
• Summer Regency SCC LLC
• Jessica Sumrall, O.D.
• Kai M Sun, D.O.
• Stephanie Kay Sun, D.O.
• John Paul Supak, PHARM.D.
• Morgan Carol Sustaire
• Crystal Sustaita, CRNA
• Lourell E Sutliff, MD
• Lynda Stigall Sutliff, RN, FNP

• Optometrist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.