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East Alabama Eye Clinic of Anniston, P.C.

Details

Name: East Alabama Eye Clinic of Anniston, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 Jan 1996 (29 years ago)
Entity Number: 000-176-445
Register Number: 000176445
County: Calhoun
Place of Formation: Calhoun County
Principal Address: ANNISTON, AL
Registered Office Street Address: 1029 CHRISTINE AVEANNISTON, AL 36207
Registered Office Street Address ZIP Code: 36207
Authorized Capital: 2,500
Paid Share Capital: ----

Activities PRIMARY EYE CARE
MEDICAL & SURGICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841375896 2006-10-26 2024-08-12 1029 CHRISTINE AVE, ANNISTON, AL, 362075709, US 1029 CHRISTINE AVE, ANNISTON, AL, 362075709, US

Contacts
Phone +1 256-237-0371
Fax 2562364181

Authorized person
Name KENT C KEYS
Role SECRETARY
Phone 2562370371

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 528601110
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. 401(K) PROFIT SHARING PLAN 2023 631163211 2024-08-23 EAST ALABAMA EYE CLINIC OF ANNISTON P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHARISTINE AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2024-08-23
Name of individual signing KENT C KEYS
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2023 631163211 2024-07-24 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2022 631163211 2023-08-03 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2023-08-02
Name of individual signing KENT KEYS
Role Employer/plan sponsor
Date 2023-08-02
Name of individual signing KENT KEYS
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2022 631163211 2023-07-26 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 10
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing KENT KEYS
Role Employer/plan sponsor
Date 2023-07-26
Name of individual signing KENT KEYS
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. 401(K) PROFIT SHARING PLAN 2022 631163211 2023-10-11 EAST ALABAMA EYE CLINIC OF ANNISTON P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHARISTINE AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing KENT C KEYS
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. 401(K) PROFIT SHARING PLAN 2021 631163211 2022-10-05 EAST ALABAMA EYE CLINIC OF ANNISTON P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHARISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2021 631163211 2022-10-13 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2020 631163211 2021-09-10 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. 401(K) PROFIT SHARING PLAN 2020 631163211 2021-10-14 EAST ALABAMA EYE CLINIC OF ANNISTON P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHARISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 401(K) PROFIT SHARING PLAN 2019 631163211 2020-07-23 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address PO BOX 970, ANNISTON, AL, 36202

Agent

Name Role
KEYS, KENT C. Agent

Incorporator

Name Role Address
GIBBINS, GEORGE M Incorporator 426 OLD CHOCCOLOCCO ROADANNISTON, AL 36207
KEYS, KENT C Incorporator 1029 CHRISTINE AVENUEANNISTON, AL 36207
KOORS, JOHN M Incorporator No data

Related by officers

GIBBINS, GEORGE M

Progressive Anniston, Inc. Medical Center Optical Dispensary, Inc. 1830 Properties, LLC Choccolocco Properties, LLC Choccolocco Investments, LLC

KEYS, KENT C

Keys Wright, LLC Watermark Tower LLC AKEM, LLC Alabama Eye Services, L.L.C. Woodstock Properties, L.L.C. Commerce Center, LLC Noble Holdings, LLC Commerce Towers, LLC

KOORS, JOHN M

Medical Center Optical Dispensary, Inc. Alabama Eye Services, L.L.C.

Related by address

ANNISTON, AL

Abel Land & Development Company, Inc. Acme Sales Company of Anniston, Inc. Air Control Corporation Alabama Coca-Cola Bottling Company Alabama Parts Warehouse, Inc. Alabama Roofing and Sheet Metal Company, Inc. Alabama Throwing Company, Inc. John T. Davis Oil Company, Inc. Anniston Business Machines, Inc. Anniston Concrete Company, Inc.

1029 CHRISTINE AVEANNISTON, AL 36207

Choccolocco Properties, LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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