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Ayesha C. Kidd. O.D. LLC

Details

Name: Ayesha C. Kidd. O.D. LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 29 Jun 2012 (12 years ago)
Date of dissolution: 06 Apr 2018
Entity Number: 000-071-687
Register Number: 000071687
County: Mobile
Place of Formation: Mobile County
Principal Address: 5700 GRELOT ROAD #925MOBILE, AL 36609
Principal Address ZIP Code: 36609

Activities PRACTICE OPTOMETRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386991271 2012-08-09 2012-08-09 PO BOX 656, SEMMES, AL, 365750656, US 7930 MOFFETT RD, SUITE A AND B, SEMMES, AL, 365755490, US

Contacts

Phone +1 251-645-2991

Authorized person

Name DR. AYESHA C KIDD
Role OPTOMETRIST/MEMBER
Phone 2516452991

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S-C61-TA-904
State AL
Is Primary Yes

Agent

Name Role Address
KIDD, AYESHA C Agent 5700 GRELOT ROAD #925MOBILE, AL 36609

Organizer

Name Role Address
KIDD, AYESHA C Organizer 5700 GRELOT ROAD #925MOBILE, AL 36609

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State