| Name: | Family Vision Care, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 02 Jun 2008 (16 years ago) (Companies founded in June 2008) |
| Date of dissolution: | 16 Mar 2020 |
| Entity Number: | 000-420-747 |
| Register Number: | 000420747 |
| ZIP code: | 36340 (Companies in Geneva, 36340) |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Principal Address: | GENEVA, AL |
| Registered Office Street Address: | 607 SOUTH COMMERCE STGENEVA, AL 36340 |
Activities
OPTOMETRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396913257 | 2008-02-13 | 2009-02-18 | 607 S COMMERCE ST, GENEVA, AL, 363402410, US | 607 S COMMERCE ST, GENEVA, AL, 363402410, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-684-6070 |
| Fax | 3346842640 |
Authorized person
| Name | DR. JOHN E HORNSBY |
| Role | OWNER/OPTOMETRIST |
| Phone | 3346846070 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S584TA252 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332H00000X - Eyewear Supplier |
| Is Primary | No |
Other Provider Identifiers
| Issuer | EYEMED |
| Number | OP2871 |
| State | AL |
| Issuer | SPECTERA |
| Number | 29447 |
| Issuer | DAVIS VISION |
| Number | 59886 |
| State | AL |
| Issuer | MEDICAID |
| Number | 103169 |
| State | AL |
| Issuer | VISION CARE PLAN |
| Number | 132755 |
| Issuer | MEDICAID |
| Number | 000058183 |
| State | AL |
| Issuer | BCBS OF AL |
| Number | 51040254 |
| State | AL |
| Name | Role |
|---|---|
| HORNSBY, JOHN E | Agent |
| Name | Role |
|---|---|
| HORNSBY, JOHN E | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
