Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore E Hackl

Individual provider Ophthalmology Physician · NPI 1881857662

Theodore E Hackl is an Ophthalmology in San Angelo, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2008, 18 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2008

Practice location Address checks out

3605 Executive Dr
San Angelo, TX 76904-6884
Phone: (325) 949-9555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence P2662 (TX)

Record details

NPI number1881857662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESJune 9, 2014
Mailing address3555 Knickerbocker Rd, San Angelo, TX 76904-7610

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Angelo