| Name: | Family Eye Care of Sylacauga LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Apr 2013 (12 years ago) |
| Entity Number: | 000-278-785 |
| Register Number: | 000278785 |
| County: | Jefferson |
| Place of Formation: | Talladega County |
| Registered Office Street Address: | 3108 BLUE LAKE DR STE 200VESTAVIA HILLS, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
Activities
PROVIDING EYE CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003251653 | 2013-05-08 | 2013-05-08 | 493 W 3RD ST, SYLACAUGA, AL, 351501916, US | 493 W 3RD ST, SYLACAUGA, AL, 351501916, US | |||||||||||||||||||||||||
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| Phone | +1 256-245-7696 |
Authorized person
| Name | STACY LEEANN CANTLEY |
| Role | OPTOMETRIST |
| Phone | 2565071416 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-C54-TA-889 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | S-C54-TA-889 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| GATEHOUSE LAW LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ANDREWS, JOSH | Organizer | 3108 BLUE LAKE DRIVE STE 200BIRMINGHAM, AL 35243 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
