| 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 | |||||||||||||||||||||||||
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| 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
