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Optical Dimensions, Inc.

Details

Name: Optical Dimensions, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 04 Jan 1999 (26 years ago)
Entity Number: 000-199-960
Register Number: 000199960
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 6750-A AIRPORT BLVDMOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Authorized Capital: 1,000

Activities RETAIL/WHOLESALE SALE OF EYE EXAMINATIONS/EYEGLASSES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588753156 2006-10-12 2007-12-18 6750 AIRPORT BLVD STE A, MOBILE, AL, 366083792, US 6750 AIRPORT BLVD STE A, MOBILE, AL, 366083792, US

Contacts

Phone +1 251-342-1223
Fax 2513422495

Authorized person

Name GINA EVANS LEACHMAN
Role OFFICE MANAGER
Phone 2514734003

Taxonomy

Taxonomy Code 332H00000X - Eyewear Supplier
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE FOR PO
Number I617
State AL
Issuer MEDICARE FOR OD
Number I615
State AL

Agent

Name Role Address
SAHAWNEH, MAZEN Agent 1209 GOVERNMENT STREETMOBILE, AL 36604

Incorporator

Name Role Address
SAHAWNEH, MAZEN Incorporator 1209 GOVERNMENT STREETMOBILE, AL 36604

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State