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Eyes on Albertville, LLC

Details

Name: Eyes on Albertville, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 May 2017 (8 years ago) (Companies founded in May 2017)
Entity Number: 000-391-031
Register Number: 000391031
ZIP code: 35950 (Companies in Marshall, 35950)
County: Marshall
Place of Formation: Marshall County
Registered Office Mailing Address: 1160 EBELL ROADONEONTA, AL 35121
Registered Office Street Address: 200 SOUTH HAMBRICK STREETALBERTVILLE, AL 35950

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GV66XZ9Y1MQ1 2024-11-16 200 S HAMBRICK ST, ALBERTVILLE, AL, 35950, 1624, USA PO BOX 860, ALBERTVILLE, AL, 35950, USA

Business Information
URL www.eyesonalbertville.com
Congressional District 04
State/Country of Incorporation AL, USA
Activation Date 2023-11-28
Initial Registration Date 2023-07-13
Entity Start Date 2017-08-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621320

Points of Contacts
Electronic Business
Title PRIMARY POC
Name PATIENCE SMITH
Role ADMINISTRATIVE ASSISTANT
Address 200 S HAMBRICK ST, PO BOX 860, ALBERTVILLE, AL, 35950, USA
Government Business
Title PRIMARY POC
Name PATIENCE SMITH
Role ADMINISTRATIVE ASSISTANT
Address 200 S HAMBRICK ST, PO BOX 860, ALBERTVILLE, AL, 35950, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598323438 2019-06-05 2019-06-05 PO BOX 12, GUNTERSVILLE, AL, 359760012, US 390 GUNTER AVE, GUNTERSVILLE, AL, 359761129, US

Contacts
Phone +1 256-878-3024
Fax 2566606150

Authorized person
Name GUSSIE BELL BRANCH
Role OWNER
Phone 2562766738

Taxonomy
Taxonomy Code 152W00000X - Optometrist
Is Primary Yes
Taxonomy Code 332H00000X - Eyewear Supplier
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EYES ON ALBERTVILLE 401(K) PLAN 2023 821337506 2024-05-06 EYES ON ALBERTVILLE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621320
Sponsor’s telephone number 2568783024
Plan sponsor’s address 200 S HAMBRICK ST, ALBERTVILLE, AL, 35950

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing QIAN LIU
EYES ON ALBERTVILLE 401(K) PLAN 2022 821337506 2023-05-28 EYES ON ALBERTVILLE 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621320
Sponsor’s telephone number 2568783024
Plan sponsor’s address 200 S HAMBRICK ST, ALBERTVILLE, AL, 35950

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
EYES ON ALBERTVILLE, LLC HEALTH AND WELFARE BENEFIT PLAN 2020 821337506 2021-10-15 EYES ON ALBERTVILLE, LLC 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 524140
Sponsor’s telephone number 2568783024
Plan sponsor’s address 200 S HAMBRICK STREET, ALBERTVILLE, AL, 35950

Plan administrator’s name and address
Administrator’s EIN 834125247
Plan administrator’s name ARSENAL HEALTH LLC
Plan administrator’s address 5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342607774

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing THOMAS BRITT TAYLOR
EYES ON ALBERTVILLE, LLC HEALTH AND WELFARE 2019 821337506 2020-10-13 EYES ON ALBERTVILLE, LLC 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 524140
Sponsor’s telephone number 2568783024
Plan sponsor’s address 200 S HAMBRICK STREET, ALBERTVILLE, AL, 35950

Plan administrator’s name and address
Administrator’s EIN 834125247
Plan administrator’s name ARSENAL HEALTH LLC
Plan administrator’s address 5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342607774

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing THOMAS BRITT TAYLOR

Agent

Name Role
BRANCH, GUSSIE B Agent

Related by officers

No related officers

Related by address

1160 EBELL ROADONEONTA, AL 35121

Alabama Caritas Practitioners, LLC Eyes on Alabama, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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