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
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
POOLE, JAMES H | Agent |
Name | Role |
---|---|
POOLE, JAMES H | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State