| Name: | Southern Family Optometry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 16 Feb 2006 (19 years ago) |
| Date of dissolution: | 07 Nov 2014 |
| Entity Number: | 000-245-788 |
| Register Number: | 000245788 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | FULTONDALE, AL |
| Registered Office Street Address: | 3094 SUMMIT DRFULTONDALE, AL 35068 |
| Registered Office Street Address ZIP Code: | 35068 |
| Authorized Capital: | $100 |
Activities
OPTOMETRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912018144 | 2006-08-31 | 2020-08-22 | PO BOX 252, FULTONDALE, AL, 350680252, US | 690 HIGHWAY 78, SUMITON, AL, 351483419, US | |||||||||||||||||||||
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| Phone | +1 901-517-8178 |
| Phone | +1 205-648-0371 |
| Fax | 2056480308 |
Authorized person
| Name | HA THI NGUYEN |
| Role | PRESIDENT |
| Phone | 9015178178 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | SB11TA697 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NGUYEN, HA | Agent | 114 MALTIDA DRHUNTSVILLE, AL 35811 |
| Name | Role | Address |
|---|---|---|
| NGUYEN, HA | Incorporator | 114 MALTIDA DRHUNTSVILLE, AL 35811 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
