| Name: | Global Eye Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 14 Feb 2002 (23 years ago) |
| Entity Number: | 000-221-274 |
| Register Number: | 000221274 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 6406 WOODMERE DRTUSCALOOSA, AL 35405 |
| Registered Office Street Address ZIP Code: | 35405 |
| Authorized Capital: | $1,000 |
Activities
DIAGNOSIS/MANAGMENT OF VISION DISORDER/OCULAR DISEASE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033234893 | 2007-03-20 | 2018-06-16 | PO BOX 71588, TUSCALOOSA, AL, 354071588, US | 1501 SKYLAND BLVD E, TUSCALOOSA, AL, 354054231, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 205-427-8857 |
| Fax | 2057508971 |
| Phone | +1 205-750-8529 |
Authorized person
| Name | DR. MATTHEW DANIEL BOX |
| Role | PRESIDENT |
| Phone | 2054278857 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | SA06-TA553 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 05447 |
| State | AL |
| Issuer | MEDICAID |
| Number | 051506198 |
| State | AL |
| Name | Role |
|---|---|
| BOX, MATTHEW DANIEL | Agent |
| Name | Role |
|---|---|
| BOX, MATTHEW DANIEL | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
