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Millbrook Eye Care,LLC

Details

Name: Millbrook Eye Care,LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Jul 2012 (12 years ago) (Companies founded in July 2012)
Entity Number: 000-070-818
Register Number: 000070818
ZIP code: 36054 (Companies in Elmore, 36054)
County: Elmore
Place of Formation: Elmore County
Principal Address: 758 MONUMENT DRIVEMILLBROOK, AL 36054
Registered Office Street Address: 3331 HIGHWAY 14MILLBROOK, AL 36054

Activities OPTOMETRIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174888770 2012-07-10 2021-01-13 758 MONUMENT DR, MILLBROOK, AL, 360541849, US 3331 HIGHWAY 14, MILLBROOK, AL, 360541838, US

Contacts

Phone +1 334-285-4828
Fax 3342854881

Authorized person

Name DR. BRYAN HOLMAN
Role OWNER/OPTOMETRIST
Phone 3342854828

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S-B81-TA-793
State AL
Is Primary Yes

Agent

Name Role Address
HOLMAN, BRYAN Agent 60 GRACE CHAPEL TRAILPIKE ROAD, AL 36064

Organizer

Name Role Address
HOLMAN, BRYAN Organizer 60 GRACE CHAPEL TRAILPIKE ROAD, AL 36064

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State