Search icon

Jeremy Edgerly, OD, LLC

Details

Name: Jeremy Edgerly, OD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 Jun 2018 (6 years ago)
Entity Number: 000-521-663
Register Number: 000521663
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3504 BRANCH MILL RDMOUNTAIN BROOK, AL 35223
Registered Office Street Address ZIP Code: 35223

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679290332 2022-10-24 2022-10-24 3504 BRANCH MILL RD, MOUNTAIN BRK, AL, 352231608, US 921 JEMISON LANE, MOUNTAIN BROOK, AL, 35223, US

Contacts

Phone +1 205-341-9595

Authorized person

Name DR. JEREMY DANIEL EDGERLY
Role SOLE MEMBER/OPTOMETRIST
Phone 2053419595

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
EDGERLY, JEREMY D Agent 485 OLD HILL RDWARRIOR, AL 05180

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State