Holub, Michael Lee
Holub, Michael Lee is an individual health care provider with primary practice located at 1745 W Avenue K Suite A, Lancaster CA 93534-6502. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Holub, Michael Lee can be contacted via phone (661) 942-8437.Contact Information
Primary practice address
1745 W Avenue K Suite A
Lancaster CA 93534-6502
Phone: (661) 942-8437
Fax: (661) 940-1959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6250TPA | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT6250TPA | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6250T | California |
Profile Details
| NPI number | 1568432730 |
|---|---|
| LBN Legal business name | Holub, Michael Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Dec 23rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568432730 | NPPES |
| California | Other | ZZ40293Z | B/C B/S GROUP IDENTIFIER |
| California | Other | 2673 | B/C B/S GROUP IDENTIFIER |
| California | Other | SD00625000 | B/C B/S GROUP IDENTIFIER |
| California | Other | 6517 | B/C B/S GROUP IDENTIFIER |
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