| Name: | R. W. Brack, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 Jan 2001 (24 years ago) |
| Entity Number: | 000-214-153 |
| Register Number: | 000214153 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 178 TAMMY GINES LANEHUNTSVILLE, AL 35811 |
| Registered Office Street Address ZIP Code: | 35811 |
| Authorized Capital: | 200 NPV |
Activities
RENDER PROFESSIONAL SERVICES IN THE FIELD OF OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336350859 | 2007-05-25 | 2020-08-22 | 178 TAMMY GAINES LN, HUNTSVILLE, AL, 358118951, US | 24833 JOHN T REID PKWY, SCOTTSBORO, AL, 357682340, US | |||||||||||||||||||||
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| Phone | +1 256-746-0170 |
| Fax | 2565746939 |
| Phone | +1 256-574-5698 |
Authorized person
| Name | DR. RYAN BRACK |
| Role | OPTOMETRIST |
| Phone | 2565745698 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S975TA537 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRACK, RYAN WAYNE | Incorporator |
| WRIGHT, JANE LUCINDA | Incorporator |
| Name | Role |
|---|---|
| BRACK, RYAN WAYNE | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
