Search icon

James H. Poole & Associates, O.D., P.C.

Details

Name: James H. Poole & Associates, O.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 Jan 2000 (25 years ago) (Companies founded in January 2000)
Entity Number: 000-207-442
Register Number: 000207442
ZIP code: 35010 (Companies in Tallapoosa, 35010)
County: Tallapoosa
Place of Formation: Tallapoosa County
Principal Address: ALEXANDER CITY, AL
Registered Office Street Address: 1120 AIRPORT DRALEXANDER CITY, AL 35010
Authorized Capital: $2,000
Paid Share Capital: $1,000

Activities OPTOMETRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114067741 2007-02-06 2019-12-19 1120 AIRPORT DR, SUITE 104, ALEXANDER CITY, AL, 350103436, US 1120 AIRPORT DR, SUITE 104, ALEXANDER CITY, AL, 350103436, US

Contacts

Phone +1 256-329-8400
Fax 2563298200

Authorized person

Name DR. JAMES H. POOLE
Role OWNER
Phone 2563298400

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S641-TA-157
State AL
Is Primary Yes
Taxonomy Code 152WC0802X - Corneal and Contact Management Optometrist
License Number S641-TA-157
State AL
Is Primary No
Taxonomy Code 152WL0500X - Low Vision Rehabilitation Optometrist
License Number S641-TA-157
State AL
Is Primary No
Taxonomy Code 152WP0200X - Pediatric Optometrist
License Number S641-TA-157
State AL
Is Primary No
Taxonomy Code 152WS0006X - Sports Vision Optometrist
License Number S641-TA-157
State AL
Is Primary No
Taxonomy Code 152WV0400X - Vision Therapy Optometrist
License Number S641-TA-157
State AL
Is Primary No
Taxonomy Code 152WX0102X - Occupational Vision Optometrist
License Number S641-TA-157
State AL
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 529906340
State AL

Agent

Name Role
POOLE, JAMES H Agent

Incorporator

Name Role
POOLE, JAMES H Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State