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Montgomery Optical Center, Inc.

Details

Name: Montgomery Optical Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 31 Oct 1967 (57 years ago)
Date of dissolution: 12 Jun 2024
Entity Number: 000-013-081
Register Number: 000013081
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities OPTICAL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740378439 2006-10-10 2020-08-22 2020 NORMANDIE DR, MONTGOMERY, AL, 361112734, US 2020 NORMANDIE DR, MONTGOMERY, AL, 361112734, US

Contacts

Phone +1 334-281-5011

Authorized person

Name MRS. DANIELLE R FULLER
Role MANAGER
Phone 3342815011

Taxonomy

Taxonomy Code 156FX1800X - Optician
License Number 0001701
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 59221
State AL

Incorporator

Name Role
COX, JUANITA Incorporator
LONG, FRANK M Incorporator
WRIGHT, JAMES M Incorporator

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State