| Name: | Nicki Hill Optometry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Aug 2011 (13 years ago) (Companies founded in August 2011) |
| Entity Number: | 000-022-618 |
| Register Number: | 000022618 |
| ZIP code: | 35115 (Companies in Shelby, 35115) |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 175 GARDNER STREETMONTEVALLO, AL 35115 |
Activities
PROVIDE OPTOMETRY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891064028 | 2011-12-16 | 2014-08-25 | 2567 BELL RD, MONTGOMERY, AL, 361174369, US | 2567 BELL RD, MONTGOMERY, AL, 361174369, US | |||||||||||||||||||||||||||||
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| Phone | +1 334-386-2751 |
| Fax | 3343862754 |
Authorized person
| Name | DR. APRIL NICOLE HILL |
| Role | CEO |
| Phone | 3343862751 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-C59-TA-897 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 156FX1800X - Optician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 131425 |
| State | AL |
| Name | Role |
|---|---|
| HILL, APRIL N | Agent |
| Name | Role | Address |
|---|---|---|
| HILL, APRIL NICOLE | Organizer | 175 GARDNER STREETMONTEVALLO, AL 35115 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
