| Name: | Mallard Eyecare, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 28 May 2010 (14 years ago) |
| Entity Number: | 000-264-368 |
| Register Number: | 000264368 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | CALERA, AL |
| Registered Office Street Address: | 826 SAVANNAH LANECALERA, AL 35040 |
| Registered Office Street Address ZIP Code: | 35040 |
| Authorized Capital: | 1,000 |
Activities
EYE EXAM
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942529292 | 2010-05-26 | 2010-05-26 | 826 SAVANNAH LN, CALERA, AL, 350405553, US | 1415 7TH ST S, CLANTON, AL, 350453746, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 205-755-7114 |
Authorized person
| Name | DR. BONNIE MALLARD |
| Role | PRESIDENT |
| Phone | 2057557114 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009933443 |
| State | AL |
| Name | Role |
|---|---|
| PEARSON, BONNIE M | Agent |
| Name | Role |
|---|---|
| PEARSON, BONNIE M | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
