| Name: | Bay Eyes Cataract & Laser Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 21 Jun 1991 (33 years ago) |
| Entity Number: | 000-144-136 |
| Register Number: | 000144136 |
| Historical Names: |
Bay Eyes Cataract & Laser Center, P.C.
|
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | 411 N. SECTION STREETFAIRHOPE, AL 36532 |
| Principal Address ZIP Code: | 36532 |
| Authorized Capital: | 500 |
Activities
PROFESSIONAL MEDICAL SERVICES TO THE PUBLIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396884227 | 2007-02-06 | 2018-06-21 | P.O. BOX 2020, FAIRHOPE, AL, 365332020, US | 411 N. SECTION ST., FAIRHOPE, AL, 365322649, US | |||||||||||||||||||||
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| Phone | +1 251-990-3937 |
| Fax | 2519909990 |
Authorized person
| Name | SUNIL GUPTA |
| Role | PRESIDENT |
| Phone | 8504766759 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 528501590 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAY EYES CATARACT & LASER CENTER, P.C. 401(K) PROFIT SHARING PLAN | 2010 | 631048148 | 2010-11-01 | BAY EYES CATARACT & LASER CENTER, P.C. | 27 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 631048148 |
| Plan administrator’s name | BAY EYES CATARACT & LASER CENTER, P.C. |
| Plan administrator’s address | P.O. BOX 2020, FAIRHOPE, AL, 36533 |
| Administrator’s telephone number | 2519903937 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-29 |
| Name of individual signing | GLENDA GRAVLEE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-05-10 |
| Business code | 621320 |
| Sponsor’s telephone number | 2519903937 |
| Plan sponsor’s address | P.O. BOX 2020, FAIRHOPE, AL, 36533 |
Plan administrator’s name and address
| Administrator’s EIN | 631048148 |
| Plan administrator’s name | BAY EYES CATARACT & LASER CENTER, P.C. |
| Plan administrator’s address | P.O. BOX 2020, FAIRHOPE, AL, 36533 |
| Administrator’s telephone number | 2519903937 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-12 |
| Name of individual signing | GLENDA GRAVLEE |
| Role | Employer/plan sponsor |
| Date | 2010-07-12 |
| Name of individual signing | GLENDA GRAVLEE |
| Name | Role |
|---|---|
| INCORP SERVICES INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GUPTA, SUNIL | Director | 5150 NORTH DAVIS HIGHWATYPENSACOLA, FL 32503 |
| MYERS, JOHN | Director | 5150 NORTH DAVIS HIGHWAYPENSACOLA, FL 32503 |
| FRANKLIN, ALAN | Director | 5150 NORTH DAVIS HIGHWAYPENSACOLA, FL 32503 |
| SHULER, MAGDALENA FLOREZ | Director | 5150 NORTH DAVIS HIGHWAYPENSACOLA, FL 32503 |
| Name | Role | Address |
|---|---|---|
| GUPTA, SUNIL | Incorporator | 5150 NORTH DAVIS HIGHWATYPENSACOLA, FL 32503 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2014-07-25 | Name Change | Bay Eyes Cataract & Laser Center, P.C. | Bay Eyes Cataract & Laser Center, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
