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Precision Eyecare, LLC

Details

Name: Precision Eyecare, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Jan 2009 (16 years ago) (Companies founded in January 2009)
Entity Number: 000-429-067
Register Number: 000429067
ZIP code: 35453 (Companies in Tuscaloosa, 35453)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: COTTONDALE, AL
Registered Office Street Address: 1685 HILLTOP LANECOTTONDALE, AL 35453

Activities OPTOMETRIC EYECARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891931333 2009-01-06 2011-02-17 7402 HIGHWAY 69 S, SUITE I, TUSCALOOSA, AL, 354051300, US 7402 HIGHWAY 69 S, SUITE I, TUSCALOOSA, AL, 354051300, US

Contacts

Phone +1 205-752-0320
Fax 2057520993

Authorized person

Name DR. GRETCHEN LUISA LANGKAWEL
Role OPTOMETRIST/OWNER
Phone 2057520320

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number SA95TA668
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 123199
State AL

Agent

Name Role
LANGKAWEL, GRETCHEN L Agent

Member

Name Role
LANGKAWEL, GRETCHEN L Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State