| Name: | Cooper Vision Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 May 2000 (25 years ago) (Companies founded in May 2000) |
| Entity Number: | 000-209-917 |
| Register Number: | 000209917 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | GADSDEN, AL |
| Registered Office Street Address: | 1923 RAINBOW DRGADSDEN, AL 35901 |
| Authorized Capital: | $100 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194908616 | 2007-12-06 | 2008-02-28 | 2414 RAINBOW DR, GADSDEN, AL, 359015620, US | 2414 RAINBOW DR, GADSDEN, AL, 359015620, US | |||||||||||||||||||||||||
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| Phone | +1 256-413-7878 |
| Fax | 2564137874 |
Authorized person
| Name | DR. JOHN MARK COOPER |
| Role | OWNER |
| Phone | 2564137878 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-920-TA-487 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 51096433 |
| State | AL |
| Name | Role |
|---|---|
| COOPER, JOHN MARK | Agent |
| Name | Role |
|---|---|
| COOPER, JOHN MARK | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
