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Forestdale Eye Clinic, Inc.

Details

Name: Forestdale Eye Clinic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 25 Nov 1996 (28 years ago)
Entity Number: 000-183-784
Register Number: 000183784
County: Jefferson
Place of Formation: Jefferson County
Principal Address: FORESTDALE, AL
Registered Office Street Address: 1444 BEAUTY CIRCLEFORESTDALE, AL 35214
Registered Office Street Address ZIP Code: 35214
Authorized Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679627087 2007-01-22 2020-08-22 2801 JOHN HAWKINS PKWY, SUITE 149M, HOOVER, AL, 352444007, US 2801 JOHN HAWKINS PKWY, SUITE 149M, HOOVER, AL, 352444007, US

Contacts

Phone +1 205-985-7640
Fax 2059857638

Authorized person

Name DR. ROBIN LIVELY MARBOURG
Role PRESIDENT
Phone 2059857640

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role
MARBOURG, ROBIN L Agent

Incorporator

Name Role Address
PEACOCK, LINDA J Incorporator 420 20TH STREET NORTH, SUITE 1400BIRMINGHAM, AL 35203

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State