| Name: | ELIZABETH ROBSON,OD,PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Jan 2012 (13 years ago) |
| Entity Number: | 000-038-720 |
| Register Number: | 000038720 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 422 CLUBHOUSE DRIVEFAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| Authorized Capital: | 1,500 NPV |
Activities
PRACTICE OF OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700207289 | 2013-12-30 | 2013-12-30 | 27520 US HIGHWAY 98, DAPHNE, AL, 365264812, US | 27520 US HIGHWAY 98, DAPHNE, AL, 365264812, US | |||||||||||||||||||||||||
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| Phone | +1 251-626-8950 |
| Fax | 2516265896 |
Authorized person
| Name | DR. ELIZABETH ROBSON |
| Role | PRESIDENT |
| Phone | 2516487970 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-965-TA-532 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF |
| Number | 511-00066 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| ROBSON, ELIZABETH | Director | 422 CLUBHOUSE DRIVEFAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| ROBSON, ELIZABETH | Incorporator | 422 CLUBHOUSE DRIVEFAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| ROBSON, ELIZABETH | Agent | 422 CLUBHOUSE DRIVEFAIRHOPE, AL 36532 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
