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Alabama Physicians Eyecare Group, P.C.

Details

Name: Alabama Physicians Eyecare Group, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 13 Aug 2018 (6 years ago)
Entity Number: 000-527-184
Register Number: 000527184
County: Mobile
Place of Formation: Montgomery County
Principal Mailing Address: 3801 SOUTH CONGRESS AVENUEPALM SPRINGS, FL 33461
Principal Address: 3853 AIRPORT BLVD SUITE CMOBILE, AL 36608
Principal Address ZIP Code: 36608
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104
Authorized Capital: 100 @ $0.001/PV

Activities EYECARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063982288 2018-11-30 2018-11-30 3801 S CONGRESS AVE, PALM SPRINGS, FL, 334614140, US 3653 AIRPORT BLVD STE C, MOBILE, AL, 366081615, US

Contacts

Phone +1 561-275-2020
Phone +1 251-295-9935
Fax 2512959942

Authorized person

Name JACKIE BENNETT
Role CREDENTIALING MANAGER
Phone 5616124531

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Director

Name Role Address
CAMPEN, THOMAS Director 3853 AIRPORT BLVD SUITE CMOBILE, AL 36608

Incorporator

Name Role Address
MEEKS, CHARLENE Incorporator 3801 SOUTH CONGRESS AVENUEPALM SPRINGS, FL 33461

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State