Laura L. Holle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5124TG Issued in TX

Practice address

4241 Southwest Blvd Ste 108
San Angelo, TX 76904-5687

Phone

(325) 949-6697

Fax

(325) 947-5077

NPI assigned

Aug 3, 2006

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunset Eye Care P.C.

  • Optometrist
  • San Angelo, TX
  • NPI 1548462013
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1982612511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 SOUTHWEST BLVD STE 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 STE 108",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045687",
            "telephone_number": "325-949-6697",
            "fax_number": "325-947-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLE",
        "first_name": "LAURA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5124TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041801402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Eric Holdridge, D.C.
• Natalia Holgerson, MD
• Bari Jade Holguin
• Brian Holik, PT
• Douglas T Holle, O.D.
• Lori Kay Hollingsworth, PHD, LPC-S, NCC
• D'Karia Holman
• Mackenzie Mae Holt, MAT, LAT, ATC
• Pamela Copenhaver Holubec
• Home Preferred Senior Care 9, LLC (Home Preferred Senior Care)

• 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 Sep 16, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.