DOUGLAS T HOLLE (O.D.) – Optometrist, NPI 1215986252

DOUGLAS T HOLLE (O.D.) is a healthcare provider. based in San angelo, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 05129TG (TX). The NPI Number for DOUGLAS T HOLLE (O.D.) is 1215986252

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS T HOLLE (O.D.)
NPI
1215986252
Phone
(325) 658-1511
Address
4241 SOUTHWEST BLVD
Enumeration Date
8 May 2006
Last Update Date
24 April 2017

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
3259496697
Graduation Year
1995 (31 years ago)
PAC ID
3476695107
Group Practice PAC ID
4082826011
Professional Enrollment ID
I20100119000522
Address ID
TX769045687SA4241XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

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Provider Addresses for DOUGLAS T HOLLE (O.D.)

  • 4241, Southwest Boulevard, Sunset, San Angelo, Tom Green County, Texas, 76904, United States

    STE 108

    SAN ANGELO, TX 769045687

    Phone: (325) 658-1511

    Type: Mailing

  • 4450, Sunset Drive, Sunset, San Angelo, Tom Green County, Texas, 76901, United States

    SAN ANGELO, TX 76901

    Phone: (325) 658-1511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $614.

Total Amount is formed as General ($614) + Research ($0) + Ownership ($0) = $614.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($377).

Total Amount

$614

General + Research + Ownership

Payments

20

Total payment records

General Amount

$614

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100119000522IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system283276$0
99213Established patient office or other outpatient visit, 20-29 minutes198140$0
92133Imaging of optic nerve7573$0
92083Exam of visual field with extended testing6766$0
92020Exam of the internal drainage system of eye6463$0
View full utilization report →

Insurance plans in this area (ZIP 76904)

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Provider's Procedures

DOUGLAS T HOLLE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92083Measurement of field of vision during daylight conditions6861
OPTOMETRYTX92134Diagnostic imaging of retina7065

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082826011View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

What identifier follows DOUGLAS T HOLLE (O.D.) across health systems?
The NPI 1215986252 uniquely identifies DOUGLAS T HOLLE (O.D.) in U.S. healthcare data.
Is DOUGLAS T HOLLE (O.D.)'s NPI status active today?
Active status means DOUGLAS T HOLLE (O.D.)'s NPI record is not deactivated in the public file.
What services align with DOUGLAS T HOLLE (O.D.)'s listing?
DOUGLAS T HOLLE (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DOUGLAS T HOLLE (O.D.)?
DOUGLAS T HOLLE (O.D.) shows a connection to San Angelo, Texas in registry-derived data.
Can I export DOUGLAS T HOLLE (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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