| Name: | Coastal Family Eyecare, Inc |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 26 Dec 2006 (18 years ago) (Companies founded in December 2006) |
| Entity Number: | 000-388-139 |
| Register Number: | 000388139 |
| ZIP code: | 36561 (Companies in Baldwin, 36561) |
| County: | Baldwin |
| Place of Formation: | Florida |
| Principal Address: | 3960 W NAVY BLVD, SUITE 1PENSACOLA, FL 32507 |
| Registered Office Street Address: | 27250 PERDIDO BEACH BLVD, UNIT CORANGE BEACH, AL 36561 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457416562 | 2006-12-27 | 2022-03-23 | 27250 PERDIDO BEACH BLVD UNIT C, ORANGE BEACH, AL, 365613205, US | 27250 PERDIDO BEACH BLVD UNIT C, ORANGE BEACH, AL, 365613205, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 251-974-1233 |
| Fax | 8449659875 |
Authorized person
| Name | DR. CLARE L LEONARD |
| Role | PRESIDENT |
| Phone | 8502927334 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 3600 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 68187 |
| State | FL |
| Name | Role |
|---|---|
| LEONARD, CLARE L | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
