| Name: | Landreth & Associates, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 01 Jun 2000 (24 years ago) |
| Entity Number: | 000-210-268 |
| Register Number: | 000210268 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | NORTHPORT, AL |
| Registered Office Street Address: | 13437 LAKEWOOD LOOPNORTHPORT, AL 35473 |
| Registered Office Street Address ZIP Code: | 35473 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922183722 | 2006-10-27 | 2009-03-18 | 1655 MCFARLAND BLVD N, SUITE 127, TUSCALOOSA, AL, 354062212, US | 3519 WATERMELON RD, FAIRFAX PARK, NORTHPORT, AL, 354735174, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 205-758-0242 |
| Fax | 2057580262 |
Authorized person
| Name | MR. STEVEN RODNEY LANDRETH |
| Role | PRESIDENT |
| Phone | 2057580242 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S 914 TA 467 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | CH9939 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529919580 |
| State | AL |
| Issuer | BCBS |
| Number | 051500676 |
| Name | Role |
|---|---|
| LANDRETH, STEVEN R | Agent |
| Name | Role |
|---|---|
| LANDRETH, STEVEN R | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
