| Name: | Chilton County Optical, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 10 Dec 1999 (25 years ago) (Companies founded in December 1999) |
| Date of dissolution: | 18 Dec 2018 |
| Entity Number: | 000-206-619 |
| Register Number: | 000206619 |
| Place of Formation: | Chilton County |
| Principal Address: | CLANTON, AL |
| Registered Office Street Address: | 700 7TH STREET SOUTHCLANTON, AL |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962694018 | 2007-08-13 | 2010-03-18 | PO BOX 346, CLANTON, AL, 35046, US | 700 7TH ST S, CLANTON, AL, 35045, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 205-280-0064 |
| Fax | 2052800030 |
Authorized person
| Name | MR. CECIL D PAVEY |
| Role | PRESIDENT OWNER |
| Phone | 2052800064 |
Taxonomy
| Taxonomy Code | 156FX1800X - Optician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 51500749 |
| State | AL |
| Issuer | BLOCK VISION |
| Number | 924787 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009954170 |
| State | AL |
| Name | Role |
|---|---|
| PAVEY, CECIL D | Agent |
| Name | Role |
|---|---|
| PAVEY, CECIL D | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
