| Name: | QUALITY FAMILY EYECARE, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 25 May 2010 (14 years ago) |
| Date of dissolution: | 30 Dec 2010 |
| Entity Number: | 000-264-310 |
| Register Number: | 000264310 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | NORTHPORT, AL |
| Registered Office Street Address: | 4804 COOPER LOOP RDNORTHPORT, AL 35473 |
| Registered Office Street Address ZIP Code: | 35473 |
| Authorized Capital: | 100 |
Activities
FAMILY EYE CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184953150 | 2009-12-21 | 2009-12-21 | 4804 COPPER LOOP RD, NORTHPORT, AL, 354730807, US | 5710 MCFARLAND BLVD, NORTHPORT, AL, 354763539, US | |||||||||||||||||||||||||
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| Phone | +1 517-648-0415 |
| Phone | +1 205-333-7859 |
Authorized person
| Name | DR. MICHELLE LYNNE LANGKAWEL |
| Role | OPTOMETRIST |
| Phone | 5176480415 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | SB48TA730 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009942359 |
| State | AL |
| Name | Role |
|---|---|
| LANGKAWEL, MICHELLE | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
