Provider Demographics
NPI:1922673789
Name:EYE HUB LLC
Entity Type:Organization
Organization Name:EYE HUB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-636-5741
Mailing Address - Street 1:5832 DARLING ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-1089
Mailing Address - Country:US
Mailing Address - Phone:281-636-5741
Mailing Address - Fax:
Practice Address - Street 1:2799 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-4628
Practice Address - Country:US
Practice Address - Phone:281-636-5741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty