| Name: | Light & Vision, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 30 Jun 1995 (29 years ago) (Companies founded in June 1995) |
| Entity Number: | 000-172-892 |
| Register Number: | 000172892 |
| ZIP code: | 35212 (Companies in Jefferson, 35212) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 811 56TH ST SOUTHBIRMINGHAM, AL 35212 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
PROVIDING SERVICES OF OPTOMETRY/PERSONNEL/EQUIPMENT & SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275617227 | 2006-10-25 | 2024-05-20 | PO BOX 1919, GARDENDALE, AL, 350711919, US | 754 MAIN STREET, GARDENDALE, AL, 350712696, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 205-631-7700 |
| Fax | 2056310990 |
Authorized person
| Name | JAMES FORTE |
| Role | OFFICE MANAGER |
| Phone | 2056317700 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Taxonomy Code | 152WC0802X - Corneal and Contact Management Optometrist |
| Is Primary | No |
| Taxonomy Code | 152WS0006X - Sports Vision Optometrist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529804360 |
| State | AL |
| Name | Role |
|---|---|
| GOLDSCHMIDT, DORRINE H | Incorporator |
| GOLDSCHMIDT, LLOYD A | Incorporator |
| Name | Role |
|---|---|
| GOLDSCHMIDT, LLOYD A | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
