| Name: | Cara Gilliland OD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Dec 2014 (10 years ago) |
| Entity Number: | 000-323-725 |
| Register Number: | 000323725 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 106 EUCLID DRIVEMADISON, AL 35758 |
| Principal Address ZIP Code: | 35758 |
| Registered Office Street Address: | 47 BRIDGHAM ST NWHUNTSVILLE, AL 35806 |
| Registered Office Street Address ZIP Code: | 35806 |
Activities
ANY AND ALL LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245612258 | 2015-06-25 | 2015-06-25 | 106 EUCLID DR, MADISON, AL, 357587916, US | 6275 UNIVERSITY DR NW, HUNTSVILLE, AL, 358061776, US | |||||||||||||||||||||||||
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| Phone | +1 205-789-5367 |
| Phone | +1 256-922-0992 |
Authorized person
| Name | DR. CARA GILLILAND |
| Role | OPTOMETRIST |
| Phone | 2057895367 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-C80-TA-929 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 511-32592 |
| State | AL |
| Name | Role |
|---|---|
| GILLILAND, CARA A | Agent |
| Name | Role | Address |
|---|---|---|
| GILLILAND, CARA ANNE | Organizer | 106 EUCLID DRIVEMADISON, AL 35758 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
