| Name: | Alabama Eye Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 20 Jan 1998 (27 years ago) |
| Entity Number: | 000-192-621 |
| Register Number: | 000192621 |
| County: | Talladega |
| Place of Formation: | Talladega County |
| Registered Office Street Address: | 109 COOSA STREET E, SUITE ATALLADEGA, AL 35160 |
| Registered Office Street Address ZIP Code: | 35160 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE OF OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639351372 | 2007-12-05 | 2012-12-20 | 109 EAST COOSA STREET, SUITE A, TALLADEGA, AL, 351602546, US | 109 COOSA STREET EAST, SUITE A, TALLADEGA, AL, 351602546, US | |||||||||||||||||||||||||
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| Phone | +1 256-362-4872 |
Authorized person
| Name | DR. JOSEPH A SCHNORBUS |
| Role | PRESIDENT |
| Phone | 2563624872 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS AL |
| Number | 51039940 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529801330 |
| State | AL |
| Name | Role |
|---|---|
| MOON, KIERSTEN T. | Agent |
| Name | Role |
|---|---|
| SCHNORBUS, JOSEPH A | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
