| Name: | inVision Ophthalmology, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 Feb 2010 (15 years ago) |
| Entity Number: | 000-263-330 |
| Register Number: | 000263330 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | HOMEWOOD, AL |
| Registered Office Street Address: | 2100 DEVEREUX CIRCLE STE 100VESTAVIA, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TXA3RHXNS2Z9 | 2024-10-26 | 2100 DEVEREUX CIR, STE 100, VESTAVIA, AL, 35243, 2558, USA | 2100 DEVEREUX CIR, STE 100, VESTAVIA, AL, 35243, 2558, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | YOUNG H CHOI MD |
| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-10-31 |
| Initial Registration Date | 2020-04-30 |
| Entity Start Date | 2010-02-11 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | INVISION O P.C. |
| Role | ADMINISTRATOR |
| Address | 2100 DEVEREUX CIRCLE, STE 100, VESTAVIA, AL, 35243, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHELLE T LANCASTER |
| Role | ADMINISTRATOR |
| Address | 2100 DEVEREUX CR, STE 100, VESTAVIA, AL, 35243, USA |
| Past Performance | |
|---|---|
| Title | ALTERNATE POC |
| Name | DAWN FOSTER |
| Role | ADMINISTRATIVE ASSISTANT |
| Address | 2100 DEVEREUX CR, STE 100, VESTAVIA, AL, 35243, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487365987 | 2022-12-06 | 2022-12-06 | 2100 DEVEREUX CIR STE 100, VESTAVIA, AL, 352432558, US | 2615 MCFARLAND BLVD E, TUSCALOOSA, AL, 354051803, US | |||||||||||||||||||||
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| Phone | +1 205-879-2221 |
| Phone | +1 205-556-4180 |
Authorized person
| Name | TALIESHA L CASH |
| Role | CREDENTIALING MGR |
| Phone | 2055148085 |
Taxonomy
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1236030 |
| State | AL |
| Name | Role |
|---|---|
| CHOI, YOUNG HWAN | Agent |
| Name | Role |
|---|---|
| SLOAN, JEVEN R | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
