| Name: | Dr. Victor C. Lacour, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Sep 2009 (15 years ago) |
| Entity Number: | 000-438-501 |
| Register Number: | 000438501 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 1800 MCARLAND BLVD STE 406TUSCALOOSA, AL 35404 |
| Registered Office Street Address ZIP Code: | 35404 |
Activities
OPTOMETRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306165725 | 2010-05-25 | 2011-03-11 | 7459 KEITH DR, MCCALLA, AL, 35111, US | 1800 MCFARLAND BLVD E, SUITE 405, TUSCALOOSA, AL, 35401, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-902-9051 |
| Fax | 2054770402 |
Authorized person
| Name | DR. VICTOR C. LACOUR |
| Role | OWNER |
| Phone | 2059029051 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S-552-TA752 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000058483 |
| State | AL |
| Issuer | BC/BS |
| Number | 51065534 |
| State | AL |
| Name | Role |
|---|---|
| LACOUR, VICTOR C | Agent |
| Name | Role |
|---|---|
| LACOUR, VICTOR C | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
