Name: | Adams Eye Care, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 01 Mar 2004 (21 years ago) |
Entity Number: | 000-233-889 |
Register Number: | 000233889 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 1712 5TH AVE NBIRMINGHAM, AL 35203 |
Registered Office Street Address ZIP Code: | 35203 |
Authorized Capital: | $100 |
Activities
OPTOMETRY PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942242300 | 2006-06-11 | 2013-03-12 | 1712 5TH AVE N, BIRMINGHAM, AL, 352032023, US | 1712 5TH AVE N, BIRMINGHAM, AL, 352032023, US | |||||||||||||||||||||||||
|
Phone | +1 205-323-4608 |
Fax | 2052520203 |
Authorized person
Name | JUANAKEE RAEDELL ADAMS |
Role | OPTOMETRIST |
Phone | 2053234608 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
License Number | S-444-TA-297 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 000810517 |
State | AL |
Name | Role |
---|---|
ADAMS, JUANAKEE | Agent |
Name | Role |
---|---|
ADAMS, JUANAKEE | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State