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Montgomery Eye Physicians, P.C.

Details

Name: Montgomery Eye Physicians, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Aug 1988 (36 years ago) (Companies founded in August 1988)
Entity Number: 000-125-575
Register Number: 000125575
ZIP code: 36106 (Companies in Montgomery, 36106)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2752 ZELDA ROADMONTGOMERY, AL 36106
Authorized Capital: $10,000
Paid Share Capital: $3,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710261821 2011-10-07 2011-10-07 2752 ZELDA RD, MONTGOMERY, AL, 361062694, US 645 MCQUEEN SMITH RD N STE 109, PRATTVILLE MEDICAL PARK, PRATTVILLE, AL, 360667263, US

Contacts
Phone +1 334-271-3804
Fax 3342703375

Authorized person
Name JOHN CRITSER
Role ADMINISTRATOR
Phone 3342713804

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTGOMERY EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2019 630982504 2020-07-31 MONTGOMERY EYE PHYSICIANS, P.C. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing BRAD COCHRANE
MONTGOMERY EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2018 630982504 2020-04-28 MONTGOMERY EYE PHYSICIANS, P.C. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing BRAD COCHRANE
MONTGOMERY EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2017 630982504 2019-04-12 MONTGOMERY EYE PHYSICIANS, P.C. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2019-04-12
Name of individual signing GRACE CHUNG
MONTGOMERY EYE PHYSICIANS, P. C. CASH BALANCE PLAN 2016 630982504 2017-10-12 MONTGOMERY EYE PHYSICIANS, P. C. 68
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing PHILLIP DOUGLAS
MONTGOMERY EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2016 630982504 2018-02-20 MONTGOMERY EYE PHYSICIANS, P.C. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2018-02-20
Name of individual signing PHILLIP DOUGLAS
MONTGOMERY EYE PHYSICIANS, P. C. CASH BALANCE PLAN 2015 630982504 2017-07-05 MONTGOMERY EYE PHYSICIANS, P. C. 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing PHILLIP DOUGLAS
MONTGOMERY EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2015 630982504 2017-05-08 MONTGOMERY EYE PHYSICIANS, P.C. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing PHILLIP DOUGLAS
MONTGOMERY EYE PHYSICIANS, P. C. CASH BALANCE PLAN 2014 630982504 2017-01-31 MONTGOMERY EYE PHYSICIANS, P. C. 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2017-01-31
Name of individual signing PHILLIP DOUGLAS
MONTGOMERY EYE PHYSICIANS, P. C. CASH BALANCE PLAN 2014 630982504 2016-06-30 MONTGOMERY EYE PHYSICIANS, P. C. 78
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing PHILLIP DOUGLAS
MONTGOMERY EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2014 630982504 2016-03-01 MONTGOMERY EYE PHYSICIANS, P.C. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621320
Sponsor’s telephone number 3342713804
Plan sponsor’s address 2752 ZELDA ROAD, MONTGOMERY, AL, 36106

Signature of
Role Plan administrator
Date 2016-03-01
Name of individual signing PHILLIP DOUGLAS

Incorporator

Name Role Address
BENKWITH, SANDERS M Incorporator No data
GLASSNER, JAMES R Incorporator No data
MITCHELL, TOM LYLE JR Incorporator 2752 ZELDA ROADMONTGOMERY, AL 36106

Agent

Name Role Address
DOUGLAS, PHILLIP Agent 518 COUNTY ROAD 20 EASTMARBURY, AL 36051

Related by officers

BENKWITH, SANDERS M

ASC Physicians, L.L.C. M.E.P. East Division, L.L.C. M.E.P. Prattville Division, L.L.C. Troy Optical Center, Inc.

GLASSNER, JAMES R

ASC Physicians, L.L.C. M.E.P. East Division, L.L.C. M.E.P. Prattville Division, L.L.C.

MITCHELL, TOM LYLE JR

MEP Seller, Inc. PEW Seller, Inc. ASC Physicians, L.L.C.

DOUGLAS, PHILLIP

Douglas Medical Providers, Inc. Vision Media, LLC Cardinal Farm & Apiaries, LLC Wiregrass Gin Company, L.L.C. ASC Physicians, L.L.C. M.E.P. East Division, L.L.C. Vaughn Road Eye Group, L.L.C. Pilgrim Rest Baptist Church, Inc.

Related by address

MONTGOMERY, AL

A-1 Hurricane Fence Industries of Montgomery, Inc. AAA Builders, Inc. AAA Plumbing Pottery Corp. A. & B. Coffee Service, Inc. A-J Construction Co., Inc. A & M Furniture Mart, Inc. Academic and Athletic Excellence, Inc. A. Q. S. Incorporated A. T. A. Building, Inc. Ace Furniture Co., Inc.

2752 ZELDA ROADMONTGOMERY, AL 36106

Prescription Eyewear, Inc. Vision Media, LLC Benkwith Glassner and Mitchell Properties, LLP MEP Seller, Inc. PEW Seller, Inc. ASC Physicians, L.L.C. M.E.P. East Division, L.L.C. Vaughn Road Eye Group, L.L.C. M.E.P. Prattville Division, L.L.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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