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Northport Vision Center, LLC

Details

Name: Northport Vision Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 Feb 2015 (10 years ago)
Entity Number: 000-328-948
Register Number: 000328948
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: 13824 RANDA PKWYNORTHPORT, AL 35475
Principal Address ZIP Code: 35475
Registered Office Street Address: 5710 MCFARLAND BLVDNORTHPORT, AL 35476
Registered Office Street Address ZIP Code: 35476

Activities EYE CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811383722 2015-04-08 2015-04-08 13824 RANDA PKWY, NORTHPORT, AL, 354756003, US 5710 MCFARLAND BLVD, NORTHPORT, AL, 354763539, US

Contacts

Phone +1 205-333-7859

Authorized person

Name DR. ANTHONY AUSTIN
Role OWNER
Phone 2053337859

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S960TA520
State AL
Is Primary Yes

Agent

Name Role
AUSTIN, ANTHONY R Agent

Organizer

Name Role Address
AUSTIN, ANTHONY RILEY Organizer 13824 RANDA PKWYNORTHPORT, AL 35475

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State