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Frank Larussa Optometry LLC

Details

Name: Frank Larussa Optometry LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Dec 2005 (19 years ago) (Companies founded in December 2005)
Entity Number: 000-471-878
Register Number: 000471878
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 210 MORRIS BLVDBIRMINGHAM, AL 35209

Activities OPTOMETRY/VISION CONSULTING SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821144379 2007-01-26 2020-08-22 210 MORRIS BLVD, HOMEWOOD, AL, 35209, US 210 MORRIS BLVD, HOMEWOOD, AL, 352095121, US

Contacts

Phone +1 205-290-9403

Authorized person

Name DR. FRANK PAUL LARUSSA JR.
Role OWNER
Phone 2059459728

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S666 TA-112
State AL
Is Primary Yes

Agent

Name Role
LARUSSA, FRANK Agent

Member

Name Role
LARUSSA, FRANK Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State