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Florence Eye Center, Inc.

Details

Name: Florence Eye Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 03 Nov 1992 (32 years ago)
Entity Number: 000-152-865
Register Number: 000152865
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: KILLEN, AL
Registered Office Street Address: RTE 2 BOX 325KILLEN, AL 35645
Registered Office Street Address ZIP Code: 35645
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities PRACTICE OPTOMETRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285002352 2015-09-08 2015-10-26 21 HUGHES RD, MADISON, AL, 357583039, US 21 HUGHES RD, MADISON, AL, 357583039, US

Contacts
Phone +1 256-246-2969
Fax 2567677374

Authorized person
Name HEATHER DAVIS
Role MANAGER
Phone 2567663139

Taxonomy
Taxonomy Code 152W00000X - Optometrist
License Number S722TA009
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORENCE EYE CENTER 401(K) PLAN 2023 631077777 2024-07-29 FLORENCE EYE CENTER, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing TONYA GULLEY
FLORENCE EYE CENTER 401(K) PLAN 2022 631077777 2023-07-24 FLORENCE EYE CENTER, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing TONYA GULLEY
FLORENCE EYE CENTER 401(K) PLAN 2021 631077777 2022-07-14 FLORENCE EYE CENTER, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing LINDSAY AUSTIN
FLORENCE EYE CENTER 401(K) PLAN 2020 631077777 2021-07-22 FLORENCE EYE CENTER, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing LINDSAY AUSTIN
FLORENCE EYE CENTER 401(K) PLAN 2019 631077777 2020-07-30 FLORENCE EYE CENTER, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing BARRY BASDEN
FLORENCE EYE CENTER 401(K) PLAN 2018 631077777 2019-07-17 FLORENCE EYE CENTER, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing BARRY BASDEN
FLORENCE EYE CENTER 401(K) PLAN 2017 631077777 2018-07-27 FLORENCE EYE CENTER, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing BARRY BASDEN
FLORENCE EYE CENTER 401(K) PLAN 2016 631077777 2017-07-11 FLORENCE EYE CENTER, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing BARRY BASDEN
FLORENCE EYE CENTER 401(K) PLAN 2015 631077777 2016-07-20 FLORENCE EYE CENTER, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 2567663139
Plan sponsor’s address 711 COX CREEK PARKWAY, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2016-07-20
Name of individual signing BARRY BASDEN

Incorporator

Name Role
BASDEN, BARRY DR Incorporator

Agent

Name Role
BASDEN, BARRY DR Agent

Related by officers

No related officers

Related by address

KILLEN, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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