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Aubrey A Odom, O.D.P.C.

Details

Name: Aubrey A Odom, O.D.P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 07 Feb 2005 (20 years ago)
Entity Number: 000-239-655
Register Number: 000239655
County: Conecuh
Place of Formation: Conecuh County
Principal Address: EVERGREEN, AL
Registered Office Street Address: PO BOX 862EVERGREEN, AL 36401
Registered Office Street Address ZIP Code: 36401
Authorized Capital: $50

Activities DOCTOR OF OPTOMETRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699805960 2007-03-06 2020-08-22 109 S MAIN ST, P.O. BOX 862, EVERGREEN, AL, 364013320, US 109 S MAIN ST, EVERGREEN, AL, 364013320, US

Contacts

Phone +1 251-578-2922
Fax 2515782952

Authorized person

Name DR. AUBREY ALAN ODOM
Role PRESIDENT
Phone 2515782922

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S-860-TA-413
State AL
Is Primary Yes

Agent

Name Role
ODOM, AUBREY A Agent

Incorporator

Name Role
ODOM, AUBREY A Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State