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Coastal Eye Care, LLC

Details

Name: Coastal Eye Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 May 2016 (8 years ago)
Entity Number: 000-364-424
Register Number: 000364424
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: ONE ST.LOUIS CENTRE ,SUITE 1000MOBILE, AL 36602
Registered Office Street Address ZIP Code: 36602
Registered Office Mailing Address: P.O. DRAWER 2025MOBILE, AL 36652
Registered Office Mailing Address ZIP Code: 36652

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710433271 2016-08-25 2019-05-14 10184 EASTERN SHORE BLVD, SUITE A, SPANISH FORT, AL, 365275814, US 10184 EASTERN SHORE BLVD, SUITE A, SPANISH FORT, AL, 365275814, US

Contacts

Phone +1 251-301-5650
Fax 2516219645

Authorized person

Name DR. STEPHEN M GROSS
Role PRESIDENT
Phone 2513015650

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S486RA041
State AL
Is Primary Yes

Agent

Name Role Address
JUSTICE, SHIRLEY M Agent ONE ST. LOUIS CENTRE, SUITE 1000MOBILE, AL 36602-3960

Organizer

Name Role Address
JUSTICE, SHIRLEY M Organizer ONE ST. LOUIS CENTRE, SUITE 1000MOBILE, AL 36602-3960

Date of last update: 04 Aug 2024

Sources: Alabama Secretary of State