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Tyler M. Amos, O.D., P.C.

Details

Name: Tyler M. Amos, O.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 14 Oct 2009 (15 years ago)
Entity Number: 000-262-258
Register Number: 000262258
County: Morgan
Place of Formation: Morgan County
Principal Address: LACEY'S SPRING, AL
Registered Office Street Address: 85 GIVEN COVELACEY'S SPRING, AL 35754
Registered Office Street Address ZIP Code: 35754
Authorized Capital: $1,000

Activities OPTOMETRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013281104 2012-03-07 2013-09-11 184 OLD HIGHWAY 431, SUITE C, OWENS CROSS ROADS, AL, 357639281, US 184 OLD HIGHWAY 431, SUITE C, OWENS CROSS ROADS, AL, 357639281, US

Contacts

Phone +1 256-469-6073
Fax 2564696085

Authorized person

Name DR. TYLER MARK AMOS
Role OPTOMETRIST/ OWNER
Phone 2564696073

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S999TA565
State AL
Is Primary Yes

Agent

Name Role
AMOS, TYLER M Agent

Incorporator

Name Role
AMOS, TYLER M Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State