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Optometry Exchange of Alabama, Inc.

Details

Name: Optometry Exchange of Alabama, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 05 Mar 2004 (21 years ago) (Companies founded in March 2004)
Date of dissolution: 15 Dec 2023
Entity Number: 000-233-993
Register Number: 000233993
ZIP code: 36606 (Companies in Mobile, 36606)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 201 SUMMERVILLE CTMOBILE, AL 36606
Authorized Capital: $10,000

Activities OCULAR DISEASE DIAGNOSIS/MANAGEMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124140173 2007-04-03 2007-11-17 201 SUMMERVILLE CT, MOBILE, AL, 366073347, US 1088 INDUSTRIAL PKWY, SARALAND, AL, 365713720, US

Contacts

Phone +1 251-675-3666

Authorized person

Name DR. JOHN DAVID DUNSON
Role PRESIDENT
Phone 2516753666

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S428TA270
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS
Number 51523097
State AL

Agent

Name Role
DUNSON, JOHN D Agent

Incorporator

Name Role
DUNSON, JOHN D Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State