Provider Demographics
NPI:1174988505
Name:HOLUB EYECARE PLLC
Entity type:Organization
Organization Name:HOLUB EYECARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOLUB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:830-372-0550
Mailing Address - Street 1:515 E COURT ST
Mailing Address - Street 2:STE 200
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5750
Mailing Address - Country:US
Mailing Address - Phone:830-372-0550
Mailing Address - Fax:830-372-4372
Practice Address - Street 1:515 E COURT ST
Practice Address - Street 2:STE 200
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5750
Practice Address - Country:US
Practice Address - Phone:830-372-0550
Practice Address - Fax:830-372-4372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6746-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty