Active NPI
Kerry Thomas Holt, O.D.
- Optometrist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5632TG
- Practice address
- 10710 Gateway Blvd N
Ste B-10
El Paso, TX 79924-1739 - Phone
- (915) 821-6800
- Fax
- (915) 822-8282
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5632TG | TX | Primary |
Addresses
Primary practice location
10710 Gateway Blvd N
Ste B-10
El Paso, TX 79924-1739
Mailing address
10816 Loma de Vida LN
El Paso, TX 79934-3780
Phone (915) 241-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81274Q | Other | TX | BLUE CROSS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5632TG | TX | MD | Optometrist |
| 5632 | TX | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Texas Professional PLLC | Optometrist | Current | Accepting new patients |
| Marion Eye Care Center PLLC | Optometrist | Past | Accepting new patients |
| The Ophthalmology Group, LLC | Optometrist | Past | Accepting new patients |
| Dianne Bui Dao OD PC | Optometrist | Past | Accepting new patients |
| Janet B Ogletree OD PA | Optometrist | Past | Accepting new patients |
| Pope Enterprises PLLC | Optometrist | Past | Accepting new patients |
Locations
3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432
12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020
4775 Loma del Sur Dr
El Paso, TX 79934
Phone (512) 889-2020
3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205
1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066
6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444
2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020
670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466
Organizations & group practices 6
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.
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- Optometrist
- Flower Mound, TX
- NPI 1740313089
-
- Optometrist
- Friendswood, TX
- NPI 1396927059
-
- Optometrist
- Marion, KY
- NPI 1164530887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699835637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 LOMA DE VIDA LN",
"city": "EL PASO",
"state": "TX",
"postal_code": "799343780",
"telephone_number": "915-241-2030",
"fax_number": "915-822-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 GATEWAY BLVD N",
"address_2": "STE B-10",
"city": "EL PASO",
"state": "TX",
"postal_code": "799241739",
"telephone_number": "915-821-6800",
"fax_number": "915-822-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "KERRY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5632TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "81274Q",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.