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Family Optometry, PC

Details

Name: Family Optometry, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 04 Feb 2002 (23 years ago)
Date of dissolution: 18 May 2023
Entity Number: 000-221-056
Register Number: 000221056
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 5919 TRUSSVILLE CROSSINGS PARKWAYBIRMINGHAM, AL 35235
Registered Office Street Address ZIP Code: 35235
Authorized Capital: $5,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699910786 2008-12-03 2008-12-03 5919 TRUSSVILLE CROSSINGS PKWY, BIRMINGHAM, AL, 352358635, US 5919 TRUSSVILLE CROSSINGS PKWY, BIRMINGHAM, AL, 352358635, US

Contacts

Phone +1 205-661-1975
Fax 2056611977

Authorized person

Name MICHAEL STEPHEN BILLITZ
Role OWNER/ OPTOMETRIST
Phone 2056611975

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S919TA498
State AL
Is Primary Yes

Agent

Name Role
BILLITZ, MICHAEL S Agent

Incorporator

Name Role
BILLITZ, MICHAEL S Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State