| Name: | Matthew S. James, O.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 09 Dec 2008 (16 years ago) |
| Entity Number: | 000-259-414 |
| Register Number: | 000259414 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 3172 DOLLY RIDGE DRBIRMINGHAM, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| Authorized Capital: | 24 |
Activities
OPTOMETRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891936506 | 2009-03-10 | 2009-03-10 | 3172 DOLLY RIDGE DR, BIRMINGHAM, AL, 352435704, US | 3172 DOLLY RIDGE DR, BIRMINGHAM, AL, 352435704, US | |||||||||||||||||||||||
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| Phone | +1 205-936-9441 |
Authorized person
| Name | DR. MATTHEW S. JAMES |
| Role | OPTOMETRIST, OWNER |
| Phone | 2059369441 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-A52-TA-649 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009997065 |
| State | AL |
| Name | Role |
|---|---|
| JAMES, MATTHEW | Agent |
| Name | Role | Address |
|---|---|---|
| SIHA, MARSHA | Incorporator | 17350 STATE HWY 249, SUITE 220HOUSTON, TX 77064 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
