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South Alabama Eye Care, P.C.

Details

Name: South Alabama Eye Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 07 Jul 2008 (16 years ago)
Entity Number: 000-257-924
Register Number: 000257924
County: Dale
Place of Formation: Dale County
Principal Address: OZARK, AL
Registered Office Street Address: 100 FRANKWOOD DRIVEMIDLAND CITY, AL 36350
Registered Office Street Address ZIP Code: 36350
Authorized Capital: $1,000

Activities OPTOMETRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053568758 2008-08-25 2008-08-25 100 FRANKWOOD DR, MIDLAND CITY, AL, 363506034, US 1892 ANDREWS AVE, OZARK, AL, 363603724, US

Contacts

Phone +1 334-873-4247
Phone +1 334-774-4703

Authorized person

Name DR. LAURI FRAZIER WYATT
Role PRESIDENT
Phone 3347744703

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S-B17-TA-702
State AL
Is Primary Yes

Agent

Name Role
WYATT, LAURI F Agent

Incorporator

Name Role Address
LUMBATIS, ALLISON REID Incorporator 360 NORTH OATES STREETDOTHAN, AL 36303

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State