| Name: | Pediatric Eye Care Specialists, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 24 May 2016 (8 years ago) |
| Date of dissolution: | 09 Nov 2018 |
| Entity Number: | 000-363-399 |
| Register Number: | 000363399 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1116 20TH STREET SOUTHBIRMINGHAM, AL 35205 |
| Registered Office Street Address ZIP Code: | 35205 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558715284 | 2016-04-19 | 2016-04-19 | 1116 20TH ST S, BIRMINGHAM, AL, 352052612, US | 1600 7TH AVE S, SUITE 412, BIRMINGHAM, AL, 352331711, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 205-969-1900 |
Authorized person
| Name | MR. THOMAS METZ |
| Role | OWNER |
| Phone | 2059691900 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | 22672 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 174590 |
| State | AL |
| Name | Role |
|---|---|
| METZ, THOMAS H | Agent |
Date of last update: 04 Aug 2024
Sources: Alabama Secretary of State
