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MARVELOUS EYES LLC

Details

Name: MARVELOUS EYES LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Aug 2014 (10 years ago)
Entity Number: 000-317-138
Register Number: 000317138
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 8017 CEDAR MOUNTAIN RDPINSON, AL 35126
Principal Address ZIP Code: 35126

Activities RETAIL SALES OF EYEWEAR SUPPLIES AND OPTOMETRY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104222934 2014-11-05 2021-11-02 419 JOHN HENRY WAY STE C, MADISON, AL, 357579608, US 419 JOHN HENRY WAY STE C, MADISON, AL, 357579608, US

Contacts

Phone +1 256-325-9175

Authorized person

Name KELLY P SHAW
Role PRESIDENT
Phone 2056833232

Taxonomy

Taxonomy Code 156FX1800X - Optician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARVELOUS EYES LLC HEALTH AND WELFARE BENEFIT PLAN 2020 471703228 2021-10-15 MARVELOUS EYES LLC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-04-01
Business code 524140
Sponsor’s telephone number 2056833232
Plan sponsor’s address 8017 CEDAR MOUNTAIN ROAD, PINSON, AL, 35126

Plan administrator’s name and address

Administrator’s EIN 834125247
Plan administrator’s name ARSENAL HEALTH LLC
Plan administrator’s address 5151 HAMPSTEAD HIGH STREET, SUITE 200, MONTGOMERY, AL, 36116

Signature of

Role Plan administrator
Date 2021-10-07
Name of individual signing THOMAS BRITT TAYLOR

Agent

Name Role
SHAW, KELLY P Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State