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Crockett Eye Care, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CROCKETT, JAMES E Agent 396 SYDNEY DR SPRATTVILLE, AL 36066

Member

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