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Gulf Coast Optometry PC

Details

Name: Gulf Coast Optometry PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 13 Dec 2019 (5 years ago)
Date of dissolution: 28 Aug 2023
Entity Number: 000-595-636
Register Number: 000595636
County: Montgomery
Place of Formation: Madison County
Principal Address: 3048 IVY CHASE LOOPMONTGOMERY, AL 36117
Principal Address ZIP Code: 36117
Registered Office Street Address: 600 BOULEVARD SOUTH SW SUITE 104JHUNTSVILLE, AL 35802
Registered Office Street Address ZIP Code: 35802
Authorized Capital: 10000@$0.001PV

Activities OTHER

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134767015 2019-12-11 2019-12-11 3048 IVY CHASE LOOP, MONTGOMERY, AL, 361176983, US 4027 AIRPORT BLVD, MOBILE, AL, 366082251, US

Contacts

Phone +1 334-322-2713

Authorized person

Name CAMTU HOANG NGUYEN
Role MANAGER
Phone 3343222713

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Director

Name Role Address
NGUYEN, CAMTU Director 3048 IVY CHASE LOOPMONTGOMERY, AL 36117

Incorporator

Name Role Address
LEGALZOOM.COM INC Incorporator 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State