| Name: | Institute For Total Eye Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 04 Nov 1986 (38 years ago) |
| Entity Number: | 000-113-802 |
| Register Number: | 000113802 |
| Historical Names: |
Montgomery Institute for Total Eye Care, Inc.
|
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 4255 CARMICHAEL COURT NORTHMONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| Authorized Capital: | $9,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417968389 | 2006-08-10 | 2009-11-23 | 4255 CARMICHAEL CT N, MONTGOMERY, AL, 361062875, US | 4255 CARMICHAEL CT N, MONTGOMERY, AL, 361062875, US | |||||||||||||||||||||||||
|
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| Phone | +1 334-277-9111 |
| Fax | 3342709359 |
Authorized person
| Name | MR. ROGER R YONKER |
| Role | CEO |
| Phone | 3342779111 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | No |
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529002290 |
| State | AL |
| Name | Role |
|---|---|
| SCANLAN, JOSEPH M | Incorporator |
| ROBBINS, CHARLES N | Incorporator |
| Name | Role |
|---|---|
| IZER, JAMES D | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1989-06-02 | Name Change | Montgomery Institute for Total Eye Care, Inc. | Institute For Total Eye Care, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
