| Name: | Jacquelyn Collins, O.D.PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 14 Jan 2008 (17 years ago) |
| Entity Number: | 000-255-813 |
| Register Number: | 000255813 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 25520 GRAY STONE DRMADISON, AL 35756 |
| Registered Office Street Address ZIP Code: | 35756 |
| Authorized Capital: | 1 |
Activities
OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982012704 | 2014-07-24 | 2014-07-24 | 4925 UNIVERSITY DR NW, SUITE 102, HUNTSVILLE, AL, 358161886, US | 4925 UNIVERSITY DR NW, SUITE 102, HUNTSVILLE, AL, 358161886, US | |||||||||||||||
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| Phone | +1 256-830-9533 |
| Fax | 2568300644 |
Authorized person
| Name | DR. JACQUELYN OLIVIA COLLINS-FRENCH |
| Role | OWNER/OPTOMETRIST |
| Phone | 2568309533 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COLLINS, JACQUELYN | Agent |
| Name | Role | Address |
|---|---|---|
| GALLO, EILEEN | Incorporator | 101 N BRAND BLVD 11TH FLOORGLENDALE, CA 91203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
