| Name: | North Alabama Eye Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 13 Oct 2016 (8 years ago) |
| Entity Number: | 000-374-359 |
| Register Number: | 000374359 |
| County: | Madison |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 229 DE JAN ROADMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| Authorized Capital: | 10 |
Activities
OPTOMETRIST
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871031948 | 2017-02-08 | 2023-07-02 | 123 CORRINE DRIVE, MADISON, AL, 357589777, US | 24833 JOHN T REID PKWY, SCOTTSBORO, AL, 357682342, US | |||||||||||||||||||||||||||
|
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| Phone | +1 256-679-8970 |
| Fax | 2562892623 |
| Phone | +1 256-574-5698 |
Authorized person
| Name | DR. MARK DAVID TAYLOR |
| Role | OWNER |
| Phone | 2565745698 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | R-229-TA-987 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 171716 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| TAYLOR, MARK D | Agent | 229 DE JAN ROADMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, MARK D | Director | 229 DE JAN ROADMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM INC | Incorporator | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
