| Name: | Pair Vision Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 May 2000 (24 years ago) |
| Entity Number: | 000-210-116 |
| Register Number: | 000210116 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | TRUSSVILLE, AL |
| Registered Office Street Address: | 5604 RIDGE VIEW DRTRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE PROFESSION OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194853812 | 2007-03-02 | 2008-11-05 | 3532 VANN RD, SUITE 102, BIRMINGHAM, AL, 352353262, US | 3532 VANN RD, SUITE 102, BIRMINGHAM, AL, 352353262, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-655-1335 |
Authorized person
| Name | KENNETH C PAIR |
| Role | OPTOMETRIST |
| Phone | 2056551335 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S639TA070 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FEDERAL |
| Number | 98190 |
| State | AL |
| Issuer | NVA |
| Number | 011065 |
| State | AL |
| Issuer | EYEMED |
| Number | 117683 |
| State | AL |
| Issuer | BCBS |
| Number | 98190 |
| State | AL |
| Issuer | AVESIS |
| Number | 18179 |
| State | AL |
| Issuer | SPECTERA |
| Number | 10120 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| PAIR, KENNETH | Agent | 80 SHILOH ESTATES ROADRAINSVILLE, AL 35986 |
| Name | Role | Address |
|---|---|---|
| PAIR, KENNETH | Incorporator | 80 SHILOH ESTATES ROADRAINSVILLE, AL 35986 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
