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Decatur Family Eye Care, LLC

Details

Name: Decatur Family Eye Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jul 2018 (6 years ago) (Companies founded in July 2018)
Entity Number: 000-523-864
Register Number: 000523864
ZIP code: 35601 (Companies in Morgan, 35601)
County: Morgan
Place of Formation: Morgan County
Registered Office Street Address: 1313 13TH AVE SEDECATUR, AL 35601

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023594603 2018-07-17 2018-07-17 1313 13TH AVE SE, DECATUR, AL, 356014308, US 1313 13TH AVE SE, DECATUR, AL, 356014308, US

Contacts

Phone +1 256-353-1787
Fax 2563506041

Authorized person

Name JONATHAN DAVIS
Role OWNER/OPTOMETRIST
Phone 6625711654

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S-E06
State AL
Is Primary Yes

Agent

Name Role Address
DAVIS, JONATHAN Agent 1313 13TH AVE SEDECATUR, AL 35601

Organizer

Name Role Address
DAVIS, JONATHAN Organizer 1313 13TH AVE SEDECATUR, AL 35601

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State