| Name: | EyeCare Professionals, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 01 Jun 1985 (39 years ago) |
| Entity Number: | 000-104-292 |
| Register Number: | 000104292 |
| Historical Names: |
Dr. Sidney I. Greenberg, Dr. Martha R. Greenberg, Optometrists, P.C.
|
| County: | Franklin |
| Place of Formation: | Franklin County |
| Registered Office Street Address: | 15255 HWY 43RUSSELLVILLE, AL 35653 |
| Registered Office Street Address ZIP Code: | 35653 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
EYES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740350842 | 2006-11-08 | 2022-07-21 | PO BOX 1177, 15255 HWY 43 NORTH, SUITE 1, RUSSELLVILLE, AL, 356531177, US | 15255 HIGHWAY 43, SUITE 1, RUSSELLVILLE, AL, 356531924, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 256-332-5440 |
| Fax | 2563325402 |
Authorized person
| Name | DR. MARTHA R GREENBERG |
| Role | OWNER |
| Phone | 2563325440 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000059359 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009980355 |
| State | AL |
| Issuer | MEDICAID |
| Number | 0000059364 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529900990 |
| State | AL |
| Name | Role |
|---|---|
| WAYNE B. STEVENS | Agent |
| Name | Role |
|---|---|
| GREENBERG, SIDNEY I DR | Incorporator |
| GREENBERG, MARTHA R DR | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2005-07-01 | Name Change | Dr. Sidney I. Greenberg, Dr. Martha R. Greenberg, Optometrists, P.C. | EyeCare Professionals, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
