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Bay Eyes Spectacular, Inc.

Details

Name: Bay Eyes Spectacular, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 21 Jun 1991 (33 years ago)
Entity Number: 000-144-135
Register Number: 000144135
County: Baldwin
Place of Formation: Baldwin County
Principal Address: FAIRHOPE, AL
Registered Office Street Address: 150 S INGLESIDE DRIVE #2FAIRHOPE, AL 36533
Registered Office Street Address ZIP Code: 36533
Authorized Capital: $5,000
Paid Share Capital: $1,000

Activities OPTICAL SHOP

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376738203 2007-09-13 2011-03-28 1624 N MCKENZIE ST, FOLEY, AL, 365352248, US 1624 N MCKENZIE ST, FOLEY, AL, 365352248, US

Contacts

Phone +1 251-943-3937

Authorized person

Name MR. JOSEPH F GRAVLEE JR.
Role OPTHAMOLOGIST
Phone 2519433937

Taxonomy

Taxonomy Code 156FX1800X - Optician
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD OF
Number 510-58327
State AL
Issuer MEDICARE LEGACY INDENTIFIER
Number 0527980002
State AL

Incorporator

Name Role
GRAVLEE, JOSEPH MD Incorporator

Agent

Name Role
GRAVLEE, JOSEPH F JR Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State