| Name: | IDENICA EYECARE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jun 2015 (9 years ago) (Companies founded in June 2015) |
| Entity Number: | 000-338-832 |
| Register Number: | 000338832 |
| ZIP code: | 35022 (Companies in Jefferson, 35022) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 4584 ROSSER LOOP DRBESSEMER, AL 35022 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508222399 | 2016-01-08 | 2016-01-08 | 1007 RED FARMER DR, HUEYTOWN, AL, 350231886, US | 1007 RED FARMER DR, HUEYTOWN, AL, 350231886, US | |||||||||||||||||
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| Phone | +1 205-260-9579 |
Authorized person
| Name | DR. LATESHA WALKER |
| Role | OPTOMETRIST |
| Phone | 2052609579 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-D06-TA-966 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WALKER, LATESHA | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
