Name: | R. City Eye Care, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 21 May 2018 (6 years ago) |
Entity Number: | 000-519-125 |
Register Number: | 000519125 |
Historical Names: |
Rocket City Eye Care, LLC
|
County: | Madison |
Place of Formation: | Madison County |
Registered Office Street Address: | 1204 BUSH DRIVE SEHUNTSVILLE, AL 35803 |
Registered Office Street Address ZIP Code: | 35803 |
Registered Office Mailing Address: | 1204 BUSH DR SEHUNTSVILLE, AL 35803 |
Registered Office Mailing Address ZIP Code: | 35803 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1457847360 | 2018-07-03 | 2023-11-22 | 4030 BALMORAL DR SW STE A, HUNTSVILLE, AL, 358016402, US | 4030 BALMORAL DR SW STE A, HUNTSVILLE, AL, 35801, US | |||||||||||||||||||||||||
|
Phone | +1 256-801-0099 |
Fax | 2565331369 |
Authorized person
Name | DR. ALANA COKER |
Role | OPTOMETRIST/OWNER |
Phone | 2568010099 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
License Number | SA847TA353 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS |
Number | 512-11263 |
State | AL |
Name | Role |
---|---|
COKER, ALANA K | Agent |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2018-06-25 | Name Change | Rocket City Eye Care, LLC | R. City Eye Care, LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State