| Name: | Clark Weeks, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 26 Aug 1994 (30 years ago) |
| Entity Number: | 000-167-143 |
| Register Number: | 000167143 |
| County: | Marion |
| Place of Formation: | Marion County |
| Registered Office Street Address: | HWY 43 SOUTHWINFIELD, AL 35594 |
| Registered Office Street Address ZIP Code: | 35594 |
| Registered Office Mailing Address: | PO BOX 1290WINFIELD, AL 35594 |
| Registered Office Mailing Address ZIP Code: | 35594 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
ENGAGE IN THE PRACTICE OF OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194914002 | 2007-10-16 | 2008-04-28 | PO BOX 1290, WINFIELD, AL, 355941290, US | 768 UNITED STATES HIGHWAY 43, WINFIELD, AL, 355941290, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 205-487-2860 |
| Fax | 2054873886 |
Authorized person
| Name | MRS. MELANY C WEEKS |
| Role | OFFICE MANAGER |
| Phone | 2054872860 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-745 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000058326 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 510 58326 |
| Issuer | PALMETTO - RAILROAD MEDIC |
| Number | P00056808 |
| State | AL |
| Name | Role |
|---|---|
| WEEKS, CLARK | Agent |
| Name | Role |
|---|---|
| WEEKS, CLARK | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
