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Bailey Cove Eye Care, P.C.

Details

Name: Bailey Cove Eye Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 19 Jun 2001 (23 years ago) (Companies founded in June 2001)
Entity Number: 000-217-192
Register Number: 000217192
ZIP code: 35803 (Companies in Madison, 35803)
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 2000 WRENWOOD DRHUNTSVILLE, AL 35803
Authorized Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144414467 2007-08-29 2011-09-13 1411 WEATHERLY PLZ, HUNTSVILLE, AL, 358032617, US 1411 WEATHERLY PLZ, HUNTSVILLE, AL, 358032617, US

Contacts

Phone +1 256-880-3200
Fax 2568801396

Authorized person

Name DR. JAMES ASHLEY FERRELL
Role OPTOMETRIST/OWNER
Phone 2568803200

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S984TA557
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 051550977
State AL
Issuer AETNA
Number 7459289
Issuer BLUE CROSS BLUE SHIELD
Number 51505724
State AL
Issuer AVESIS
Number 23504
Issuer UPIN
Number U86651
Issuer SPECTERA
Number 14781
Issuer MEDICAID
Number 529909580
State AL

Agent

Name Role
FERRELL, JAMES Agent

Incorporator

Name Role
FERRELL, JAMES Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State