Name: | Tomsik Eyecare, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 28 Sep 1990 (34 years ago) |
Entity Number: | 000-139-280 |
Register Number: | 000139280 |
County: | Lauderdale |
Place of Formation: | Lauderdale County |
Principal Address: | FLORENCE, AL |
Registered Office Street Address: | 318 EAST TENNESSEE STREETFLORENCE, AL 35630 |
Registered Office Street Address ZIP Code: | 35630 |
Authorized Capital: | $1,000 |
Activities
PRODUCTS CONNECTED WITH THE CARE OF EYES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912162975 | 2008-07-18 | 2008-10-15 | 2091 FLORENCE BLVD, FLORENCE, AL, 356302751, US | 2091 FLORENCE BLVD, FLORENCE, AL, 356302751, US | |||||||||||||||||||||||||
|
Phone | +1 256-766-2120 |
Fax | 2567662796 |
Authorized person
Name | STACEY A MITCHELL |
Role | OFFICE MGR |
Phone | 2567662120 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
License Number | S719 TA 177 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS |
Number | 51591340 |
State | AL |
Name | Role |
---|---|
TOMSIK, GERALD EDWARD | Agent |
Name | Role |
---|---|
TOMSIK, GERALD EDWARD | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State