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AUBURN LASIK & EYE INSTITUTE, LLC

Details

Name: AUBURN LASIK & EYE INSTITUTE, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 14 Jun 2012 (12 years ago) (Companies founded in June 2012)
Entity Number: 000-062-898
Register Number: 000062898
ZIP code: 36801 (Companies in Lee, 36801)
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 2496 ENTERPRISE DRIVEOPELIKA, AL 36801

Activities VISION CORRECTION CENTER

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730441601 2012-06-15 2012-09-24 1240 BROOKSTONE CENTRE PKWY, COLUMBUS, GA, 319042954, US 3021 FREDERICK RD, STE 4, OPELIKA, AL, 368017145, US

Contacts

Phone +1 706-323-8127
Fax 7065964849
Phone +1 334-705-8803
Fax 3347058643

Authorized person

Name DR. JOSEPH FRANK CERAVOLO
Role PRESIDENT
Phone 7063238127

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S827TA355
State AL
Is Primary No
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number MD25848
State AL
Is Primary Yes

Agent

Name Role Address
CERAVOLO, JOSEPH Agent 2496 ENTERPRISE DRIVEOPELIKA, AL 36801

Member

Name Role Address
CERAVOLO, JOSEPH Member 2496 ENTERPRISE DRIVEOPELIKA, AL 36801

Organizer

Name Role Address
COPPEDGE, BRADLEY R Organizer 1301 1ST AVENUE, SUITE 100COLUMBUS, GA 31902

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State