| Name: | John A. Essinger II, O.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Sep 1998 (26 years ago) |
| Entity Number: | 000-198-106 |
| Register Number: | 000198106 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1806 SOUTHWOOD ROADBIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Authorized Capital: | $100 |
Activities
PRACTICE OF OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851301188 | 2006-08-09 | 2013-03-12 | PO BOX 660158, BIRMINGHAM, AL, 352660158, US | 1806 SOUTHWOOD RD, BIRMINGHAM, AL, 352161416, US | |||||||||||||||||||||||||
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| Phone | +1 205-567-8606 |
| Fax | 2058228606 |
Authorized person
| Name | DR. JOHN A ESSINGER |
| Role | PRESIDENT |
| Phone | 2055678606 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S77OTA218 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000046365 |
| State | AL |
| Name | Role |
|---|---|
| ESSINGER, JOHN A II | Agent |
| Name | Role |
|---|---|
| ESSINGER, JOHN A II | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
