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Blackerby Eye Care, LLC

Details

Name: Blackerby Eye Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 20 Dec 2012 (12 years ago) (Companies founded in December 2012)
Date of dissolution: 30 Dec 2014
Entity Number: 000-271-555
Register Number: 000271555
ZIP code: 35143 (Companies in Shelby, 35143)
County: Shelby
Place of Formation: Shelby County
Principal Address: 1161 HIGHWAY 46SHELBY, AL 35143

Activities OPTOMETRIC SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669711651 2013-02-11 2013-02-11 PO BOX 265, SHELBY, AL, 351430265, US 7201 AARON ARONOV DR, FAIRFIELD, AL, 350641831, US

Contacts

Phone +1 205-923-4377
Fax 2059234960

Authorized person

Name JOHNNA LEIGH HEADLEY BLACKERBY
Role OPTOMETRIST/OWNER
Phone 2053378715

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number SC58TA896
State AL
Is Primary Yes

Agent

Name Role
BLACKERBY, JOHNNA H Agent

Organizer

Name Role Address
BLACKERBY, JOHNNA HEADLEY Organizer 1161 HIGHWAY 46SHELBY, AL 35143

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State