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Robert L. Moore, P.C.

Details

Name: Robert L. Moore, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Jan 1995 (30 years ago) (Companies founded in January 1995)
Entity Number: 000-168-710
Register Number: 000168710
ZIP code: 35406 (Companies in Tuscaloosa, 35406)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCLAOOSA, AL
Registered Office Street Address: 221 RICE MINE ROAD NE STE BTUSCALOOSA, AL 35406
Authorized Capital: $5,000
Paid Share Capital: $1,000

Activities PROFESSION OF OPTOMETRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609931666 2006-12-27 2012-03-27 631 HELEN KELLER BLVD, SUITE 100, TUSCALOOSA, AL, 354042983, US 631 HELEN KELLER BLVD, SUITE 100, TUSCALOOSA, AL, 354042983, US

Contacts

Phone +1 205-758-1966
Fax 2057581548

Authorized person

Name DR. ROBERT MOORE
Role PRESIDENT
Phone 2057581966

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S-758-TA-061
State AL
Is Primary Yes
Taxonomy Code 332H00000X - Eyewear Supplier
License Number S758-TA061
State AL
Is Primary No

Agent

Name Role Address
MOORE, ROBERT L Agent 5182 AL HWY 229 STALLASSEE, AL 36078

Incorporator

Name Role Address
MOORE, ROBERT L Incorporator 5182 AL HWY 229 STALLASSEE, AL 36078

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State