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K. Michael Anderson, O.D., P.C.

Details

Name: K. Michael Anderson, O.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Oct 1987 (37 years ago)
Entity Number: 000-120-109
Register Number: 000120109
County: Shelby
Place of Formation: Shelby County
Principal Address: MONTEVALLO, AL
Registered Office Street Address: 300 WADSWORTH STMONTEVALLO, AL 35115
Registered Office Street Address ZIP Code: 35115
Authorized Capital: $2,000
Paid Share Capital: $1,000

Activities OPTOMETRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255426342 2006-10-04 2009-06-24 977 MAIN ST, MONTEVALLO, AL, 351153847, US 977 MAIN ST, MONTEVALLO, AL, 351153847, US

Contacts

Phone +1 205-665-1488
Fax 2056655128

Authorized person

Name DR. KENNETH MICHAEL ANDERSON
Role OWNER
Phone 2056651488

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Incorporator

Name Role
ANDERSON, K MICHAEL Incorporator

Agent

Name Role
ANDERSON, K MICHAEL Agent

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State