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Decatur Optical Dispensary, Inc.

Details

Name: Decatur Optical Dispensary, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 01 May 1978 (47 years ago)
Date of dissolution: 06 Oct 2023
Entity Number: 000-051-069
Register Number: 000051069
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Authorized Capital: $10,000
Paid Share Capital: $5,000

Activities OPTICAL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518155381 2007-10-05 2015-09-03 201 6TH AVE SE, DECATUR, AL, 356013115, US 201 6TH AVE SE, DECATUR, AL, 356013115, US

Contacts

Phone +1 256-351-0040
Fax 2563010449

Authorized person

Name MR. JACK L HOLBERT
Role PRES. OF COMPANY/OPTICIAN
Phone 2563510040

Taxonomy

Taxonomy Code 332H00000X - Eyewear Supplier
License Number 332H00000X
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NPI
Number 1629014469

Incorporator

Name Role
COOPER, JAMES A JR Incorporator
COOPER, PATRICIA A Incorporator
COOPER, GEORGE A Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State