| Name: | JSD Eyecare, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Aug 2011 (13 years ago) |
| Entity Number: | 000-022-820 |
| Register Number: | 000022820 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 316 LAKE HEATHER RESERVEBIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
Activities
OPTOMETRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336507748 | 2016-02-01 | 2016-02-01 | 1556 INVERNESS COVE LN, BIRMINGHAM, AL, 352424549, US | 340 E MEIGHAN BLVD, GADSDEN, AL, 359031049, US | |||||||||||||||||||||||||
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| Phone | +1 205-915-8899 |
| Fax | 2565437789 |
Authorized person
| Name | DR. JENNIFER S DETLOFF |
| Role | OPTOMETRIST/ OWNER |
| Phone | 2059158899 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-876-TA-437 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1265586473 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| DETLOFF, JENNIFER S | Agent | 316 LAKE HEATHER RESERVEBIRMINGHAM, AL 35242 |
| Name | Role | Address |
|---|---|---|
| DETLOFF, JENNIFER S | Organizer | 316 LAKE HEATHER RESERVEBIRMINGHAM, AL 35242 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
