Name: | Crockett Eye Care, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 21 Nov 2008 (16 years ago) |
Entity Number: | 000-427-537 |
Register Number: | 000427537 |
County: | Shelby |
Place of Formation: | Shelby County |
Principal Address: | CALERA, AL |
Registered Office Street Address: | 1008 VILLAGE TRAILCALERA, AL 35040 |
Registered Office Street Address ZIP Code: | 35040 |
Activities
OPTOMETRIC SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114164993 | 2009-01-15 | 2009-01-15 | PO BOX 7756, ROCKY MOUNT, NC, 278040756, US | 1008 VILLAGE TRL, CALERA, AL, 350405295, US | |||||||||||||||||||
|
Phone | +1 252-985-1371 |
Phone | +1 334-365-2020 |
Authorized person
Name | JAMES E CROCKETT |
Role | OWNER |
Phone | 3343652020 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
License Number | S-B79-TA-791 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CROCKETT, JAMES E | Agent | 396 SYDNEY DR SPRATTVILLE, AL 36066 |
Name | Role | Address |
---|---|---|
CROCKETT, JAMES E | Member | 396 SYDNEY DR SPRATTVILLE, AL 36066 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State