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
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
FERRELL, JAMES | Agent |
Name | Role |
---|---|
FERRELL, JAMES | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State