| Name: | Comprehensive Medical Eye Ophthalmic Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Jul 2010 (14 years ago) |
| Entity Number: | 000-300-223 |
| Register Number: | 000300223 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1032 2ND ST WESTBIRMINGHAM, AL 35204 |
| Registered Office Street Address ZIP Code: | 35204 |
Activities
MEDICAL/OPHTHAMOLOGY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518264258 | 2011-02-15 | 2011-02-15 | PO BOX 1146, BIRMINGHAM, AL, 352011146, US | 401 TUSCALOOSA AVE SW, SUITE 200, BIRMINGHAM, AL, 352111416, US | |||||||||||||||||||||||||
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| Phone | +1 205-999-2635 |
| Fax | 2052527292 |
Authorized person
| Name | DENISE RENEE BAREFIELD-PENDLETON |
| Role | PHYSICIAN/ SOLE PROVIDER |
| Phone | 2059992635 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | 4482 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1811972813 |
| State | AL |
| Name | Role |
|---|---|
| BAREFIELD-PENDLETON, DENISE | Agent |
| Name | Role |
|---|---|
| BAREFIELD-PENDLETON, DENISE | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
