| Name: | Bay Eyes Surgery Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 05 Nov 2002 (22 years ago) (Companies founded in November 2002) |
| Date of dissolution: | 24 Nov 2021 |
| Entity Number: | 000-226-042 |
| Register Number: | 000226042 |
| ZIP code: | 36532 (Companies in Baldwin, 36532) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FAIRHOPE, AL |
| Registered Office Street Address: | 411 N SECTION STFAIRHOPE, AL 36532 |
| Authorized Capital: | $1,000 |
Activities
OPHTHALMOLOGY MEDICINE/SURGERY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881618403 | 2006-07-27 | 2008-06-24 | PO BOX 2020, FAIRHOPE, AL, 365332020, US | 411 NORTH SECTION STREET, FAIRHOPE, AL, 36532, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 251-990-3937 |
| Fax | 2519909990 |
Authorized person
| Name | DR. JOSEPH F GRAVLEE JR. |
| Role | OWNER/ DOCTOR |
| Phone | 2519903937 |
Taxonomy
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| License Number | 12947 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051557682 |
| State | AL |
| Issuer | UNITED HEALTHCARE |
| Number | 2721198 |
| Issuer | BLUE CROSS BLUE SHIEDL OF ALABAMA |
| Number | 510-04612 |
| State | AL |
| Name | Role |
|---|---|
| GRAVLEE, JOSEPH F JR | Agent |
| Name | Role |
|---|---|
| GRAVLEE, JOSEPH F JR | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
