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Dr Graham Rowland LLC

Details

Name: Dr Graham Rowland LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Jun 2010 (14 years ago) (Companies founded in June 2010)
Entity Number: 000-448-402
Register Number: 000448402
Place of Formation: Dallas County
Principal Address: SELMA, AL
Registered Office Street Address: 1501 ALABAMA HWY 14 EASTSELMA, AL 36703-3201

Activities OPTOMETRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922316231 2010-09-21 2013-01-31 2344 DALTON DR, PELHAM, AL, 351241214, US 2300 RIVERCHASE GALLERIA, JCPENNEY OPTICAL, HOOVER, AL, 352442310, US

Contacts

Phone +1 205-447-9379
Fax 2059872228

Authorized person

Name DR. GRAHAM HUGH ROWLAND
Role OPTOMETRIST/OWNER
Phone 2054479379

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S-C40-TA-856
State AL
Is Primary Yes

Other Provider Identifiers

Issuer INDIVIDUAL NPI FOR GRAHAM ROWLAND, O.D.
Number 1750692950
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 511-13425
State AL

Agent

Name Role
ROWLAND, GRAHAM H Agent

Member

Name Role
ROWLAND, GRAHAM H Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State