| Name: | Perfect Optical Eyecare Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Jul 2014 (10 years ago) |
| Entity Number: | 000-314-044 |
| Register Number: | 000314044 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 6945 UNIVERSITY DRIVE NW SUITE GHUNTSVILLE, AL 35806 |
| Principal Address ZIP Code: | 35806 |
| Registered Office Street Address: | 126 TOTTENHAM WAYMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
Activities
CREATE/GROW/MAINTAIN WEALTH THROUGH ANY/ALL LEGAL MEANS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952558249 | 2008-08-19 | 2015-11-24 | 6945 UNIVERSITY DR NW, SUITE G, HUNTSVILLE, AL, 358061786, US | 6945 UNIVERSITY DR NW, SUITE G, HUNTSVILLE, AL, 358061786, US | |||||||||||||||||||||||||
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| Phone | +1 256-325-6950 |
| Fax | 2565851019 |
Authorized person
| Name | DR. DANE WILLIAM BAGLEY |
| Role | OWNER AND DOCTOR |
| Phone | 2563256950 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-981-TA-566 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529926980 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BAGLEY, DANE | Agent | 126 TOTTENHAM WAYMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| BAGLEY, DANE | Organizer | 126 TOTTENHAM WAYMADISON, AL 35758 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
