| Name: | Stancil Handley, O.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 04 Jan 1994 (31 years ago) |
| Entity Number: | 000-161-323 |
| Register Number: | 000161323 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | COLUMBIANA, AL |
| Registered Office Street Address: | 108 MILDRED STREETCOLUMBIANA, AL 35051 |
| Registered Office Street Address ZIP Code: | 35051 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
PRACTICE OF OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538358056 | 2007-10-22 | 2010-02-25 | PO BOX 828, COLUMBIANA, AL, 350510828, US | 112 SOUTH MAIN STREET, COLUMBIANA, AL, 35051, US | |||||||||||||||||||||||||
|
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| Phone | +1 205-669-4131 |
| Fax | 2056694737 |
Authorized person
| Name | PHILLIP STANCIL HANLDLEY |
| Role | OWNER |
| Phone | 2056694131 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S432TA044 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE GROUP NUMBER |
| Number | J676 |
| State | AL |
| Name | Role |
|---|---|
| HANDLEY, STANCIL OD | Incorporator |
| Name | Role |
|---|---|
| HANDLEY, STANCIL OD | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
