| Name: | Campbell Vision Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 04 Oct 2006 (18 years ago) (Companies founded in October 2006) |
| Entity Number: | 000-249-419 |
| Register Number: | 000249419 |
| ZIP code: | 35654 (Companies in Franklin, 35654) |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RUSSELLVILLE, AL |
| Registered Office Street Address: | 14378 HWY 43RUSSELLVILLE, AL 35654 |
| Authorized Capital: | $1,000 |
Activities
OPTOMETRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649371550 | 2006-09-25 | 2010-10-27 | 14378 HIGHWAY 43, RUSSELLVILLE, AL, 356532568, US | 14378 HIGHWAY 43, RUSSELLVILLE, AL, 356532568, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 256-332-1355 |
| Fax | 2563321315 |
Authorized person
| Name | DR. JEREMY S. CAMPBELL |
| Role | PRESIDENT |
| Phone | 2563321355 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-A80-TA-660 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009940024 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529930260 |
| State | AL |
| Name | Role |
|---|---|
| CAMPBELL, JEREMY S | Agent |
| Name | Role |
|---|---|
| CAMPBELL, JEREMY S | Incorporator |
| CAMPBELL, AMY S | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
