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Eye Surgery Center of North Alabama, Inc.

Details

Name: Eye Surgery Center of North Alabama, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 02 Apr 2003 (22 years ago)
Entity Number: 000-228-419
Register Number: 000228419
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 3501 MEMORIAL PARKWAY SWHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000

Activities BILLING/OTHER SERVICES FOR OPHTHALMIC SURGERY/MEDICAL PRACTICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558091033 2022-06-16 2023-12-29 3501 MEMORIAL PKWY SW STE 100, HUNTSVILLE, AL, 358016900, US 3501 MEMORIAL PKWY SW STE 100, HUNTSVILLE, AL, 358016900, US

Contacts
Phone +1 256-428-3240
Fax 2564283250
Phone +1 256-428-3937
Fax 2564283228

Authorized person
Name DR. WILLIAM N MITCHELL
Role PRESIDENT
Phone 2564283937

Taxonomy
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EYE SURGERY CENTER OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2023 450506013 2024-06-14 EYE SURGERY CENTER OF NORTH ALABAMA, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2564283937
Plan sponsor’s address 3501 MEMORIAL PARKWAY, SW, STE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2024-06-14
Name of individual signing WILLIAM MITCHELL
EYE SURGERY CENTER OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2022 450506013 2023-05-15 EYE SURGERY CENTER OF NORTH ALABAMA, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2564283937
Plan sponsor’s address 3501 MEMORIAL PARKWAY, SW, STE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2023-05-15
Name of individual signing WILLIAM MITCHELL
EYE SURGERY CENTER OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2021 450506013 2022-01-24 EYE SURGERY CENTER OF NORTH ALABAMA, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2564283937
Plan sponsor’s address 3501 MEMORIAL PARKWAY, SW, STE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-01-24
Name of individual signing WILLIAM MITCHELL
Role Employer/plan sponsor
Date 2022-01-24
Name of individual signing WILLIAM MITCHELL
EYE SURGERY CENTER OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2020 450506013 2021-02-23 EYE SURGERY CENTER OF NORTH ALABAMA, INC. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2564283937
Plan sponsor’s address 3501 MEMORIAL PARKWAY, SW, STE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2021-02-23
Name of individual signing WILLIAM MITCHELL
Role Employer/plan sponsor
Date 2021-02-23
Name of individual signing WILLIAM MITCHELL
EYE SURGERY CENTER OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2019 450506013 2020-05-04 EYE SURGERY CENTER OF NORTH ALABAMA, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2564283937
Plan sponsor’s address 3501 MEMORIAL PARKWAY, SW, STE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing WILLIAM MITCHELL
Role Employer/plan sponsor
Date 2020-05-04
Name of individual signing WILLIAM MITCHELL
EYE SURGERY CENTER OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2018 450506013 2019-05-16 EYE SURGERY CENTER OF NORTH ALABAMA, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2564283937
Plan sponsor’s address 3501 MEMORIAL PARKWAY, SW, STE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2019-05-16
Name of individual signing WILLIAM MITCHELL
Role Employer/plan sponsor
Date 2019-05-16
Name of individual signing WILLIAM MITCHELL
EYE SURGERY CENTER OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2017 450506013 2018-06-06 EYE SURGERY CENTER OF NORTH ALABAMA, INC. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 2564283937
Plan sponsor’s address 3501 MEMORIAL PARKWAY, SW, STE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing WILLIAM MITCHELL

Agent

Name Role
MITCHELL, WILLIAM N Agent

Incorporator

Name Role
MITCHELL, WILLIAM N Incorporator

Related by officers

MITCHELL, WILLIAM N

Maynor & Mitchell Eye Center, P.C. ESC Leasing, L.L.C. ESF Properties LLC Huntsville LASER Center, LLC Maynor & Mitchell Optical Shop, LLC ESC Properties, LLC

Related by address

HUNTSVILLE, AL

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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