| Name: | Dr. Optical, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 08 Nov 1990 (34 years ago) |
| Entity Number: | 000-139-987 |
| Register Number: | 000139987 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 3292 FARRINTON WOOD PLACEBIRMINGHAM, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE EYE EXAMS
EYE DISEASE
EYE GLASSES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679754659 | 2007-11-19 | 2018-06-21 | 5239 OLD SPRINGVILLE RD, SUITE 103, PINSON, AL, 351267607, US | 5239 OLD SPRINGVILLE RD, SUITE 103, PINSON, AL, 351267607, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 205-854-6700 |
Authorized person
| Name | DR. IRWIN HOWARD FINGERMAN |
| Role | PRESIDENT |
| Phone | 2058546700 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S630TA251 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 000058157 |
| State | AL |
| Issuer | BLOCK VISION |
| Number | 924396 |
| State | AL |
| Issuer | SPECTERA |
| Number | 40510 |
| State | MD |
| Issuer | RAILROAD MEDICARE |
| Number | 410015946 |
| Issuer | MEDICAID |
| Number | 5292024410 |
| State | AL |
| Name | Role |
|---|---|
| FINGERMAN OD, IRWIN | Agent |
| Name | Role |
|---|---|
| FINGERMAN, IRWIN | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
