| Name: | Sally W. Moore, O.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 02 Jun 2004 (20 years ago) |
| Entity Number: | 000-235-669 |
| Register Number: | 000235669 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | DAPHNE, AL |
| Registered Office Street Address: | 8223 PINE LOG CTDAPHNE, AL 36526 |
| Registered Office Street Address ZIP Code: | 36526 |
| Authorized Capital: | $300 |
Activities
OPTOMETRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215029616 | 2006-09-29 | 2020-08-22 | 8223 PINE LOG CT, DAPHNE, AL, 365266152, US | 27520 US HIGHWAY 98, DAPHNE, AL, 365264812, US | |||||||||||||||||||||
|
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| Phone | +1 251-753-2978 |
| Phone | +1 251-626-8950 |
| Fax | 2516265896 |
Authorized person
| Name | DR. SALLY WONG MOORE |
| Role | PRESIDENT |
| Phone | 2517532978 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | SA38TA597 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MOORE, SALLY W | Agent |
| Name | Role |
|---|---|
| MOORE, SALLY W | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
