Name: | Hillcrest Optical, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 16 Apr 1998 (27 years ago) |
Entity Number: | 000-194-579 |
Register Number: | 000194579 |
County: | Mobile |
Place of Formation: | Mobile County |
Principal Address: | MOBILE, AL |
Registered Office Street Address: | 10 MIDTOWN PARK WMOBILE, AL 36606 |
Registered Office Street Address ZIP Code: | 36606 |
Authorized Capital: | 1,000 |
Activities
OWN/OPERATE OPTICAL CENTER
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659405447 | 2007-03-15 | 2014-09-02 | 1261 HILLCREST RD, SUITE E, MOBILE, AL, 36695, US | 1261 HILLCREST RD, SUITE E, MOBILE, AL, 36695, US | |||||||||||||||||||||||||
|
Phone | +1 251-634-9928 |
Fax | 2516349957 |
Authorized person
Name | MR. AUBREY C. ROBERSON |
Role | VICE PRESIDENT |
Phone | 2516349928 |
Taxonomy
Taxonomy Code | 332H00000X - Eyewear Supplier |
License Number | 008475 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS OF ALABAMA |
Number | 51079960 |
State | AL |
Name | Role | Address |
---|---|---|
NONNENMACHER, JOHN F | Agent | 3016 AUTUMN RIDGE DR WESTMOBILE, AL 36695 |
Name | Role | Address |
---|---|---|
ANDERSON, DOUGLAS L | Incorporator | 11 NORTH WATER STREET, SUITE 22200MOBILE, AL 36602-5102 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State