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Fairhope Eye and Laser Center, LLC

Details

Name: Fairhope Eye and Laser Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Oct 2011 (13 years ago) (Companies founded in October 2011)
Entity Number: 000-028-554
Register Number: 000028554
ZIP code: 36526 (Companies in Baldwin, 36526)
County: Baldwin
Place of Formation: Baldwin County
Principal Address: 24204 TROWBRIDGE CTDAPHNE, AL 36526

Activities OPTOMETRY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245516368 2011-11-03 2011-11-03 7540 CIPRIANO CT, SUITE B, FAIRHOPE, AL, 365323029, US 7540 CIPRIANO CT, SUITE B, FAIRHOPE, AL, 365323029, US

Contacts

Phone +1 251-928-5828

Authorized person

Name DR. KIMBERLY M DUNAGAN
Role OWNER
Phone 2519285828

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S844TA357
State AL
Is Primary Yes

Agent

Name Role Address
DUNAGAN, KIMBERLY M Agent 24204 TROWBRIDGE CTDAPHNE, AL 36526

Organizer

Name Role Address
DUNAGAN, KIMBERLY M Organizer 24204 TROWBRIDGE CTDAPHNE, AL 36526

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State