Kazi Ophthalmology, LLC

Contacts

Phone	+1 256-237-6769
Fax	2562376719

Authorized person

Name	ABDUL AHAD KAZI
Role	PRESIDENT
Phone	2562376769

Taxonomy

Taxonomy Code	207W00000X - Ophthalmology Physician
License Number	26028
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621320
Sponsor’s telephone number	2562376769
Plan sponsor’s address	822 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of

Role	Plan administrator
Date	2024-09-06
Name of individual signing	ABDUL AHAD KAZI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621320
Sponsor’s telephone number	2562376769
Plan sponsor’s address	822 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of

Role	Plan administrator
Date	2023-10-03
Name of individual signing	ABDUL AHAD KAZI

Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621320
Sponsor’s telephone number	2562376769
Plan sponsor’s address	822 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of

Role	Plan administrator
Date	2022-10-15
Name of individual signing	ABDUL AHAD KAZI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621320
Sponsor’s telephone number	2562376769
Plan sponsor’s address	822 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of

Role	Plan administrator
Date	2023-10-03
Name of individual signing	ABDUL AHAD KAZI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621320
Sponsor’s telephone number	2562376769
Plan sponsor’s address	822 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of

Role	Plan administrator
Date	2021-06-28
Name of individual signing	ABDUL AHAD KAZI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621320
Sponsor’s telephone number	2562376769
Plan sponsor’s address	822 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of

Role	Plan administrator
Date	2020-09-20
Name of individual signing	ABDUL AHAD KAZI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621320
Sponsor’s telephone number	2562376769
Plan sponsor’s address	822 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of

Role	Plan administrator
Date	2019-10-14
Name of individual signing	ABDUL AHAD KAZI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621320
Sponsor’s telephone number	2562376769
Plan sponsor’s address	822 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of

Role	Plan administrator
Date	2018-10-15
Name of individual signing	ABDUL AHAD KAZI