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Southern Vision Eye Care, LLC

Details

Name: Southern Vision Eye Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 17 Mar 2020 (5 years ago) (Companies founded in March 2020)
Entity Number: 000-626-680
Register Number: 000626680
ZIP code: 35121 (Companies in Blount, 35121)
County: Blount
Place of Formation: Blount County
Registered Office Street Address: 308 6TH STREET SOUTH SUITE 105ONEONTA, AL 35121

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
UXQ3G2VA3ZG3 2024-07-26 308 6TH ST S, STE 105, ONEONTA, AL, 35121, 1842, USA 308 6TH ST S, STE 105, ONEONTA, AL, 35121, 1842, USA

Business Information

Congressional District 06
State/Country of Incorporation AL, USA
Activation Date 2023-07-31
Initial Registration Date 2023-07-27
Entity Start Date 2022-04-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name GLENDA J KING
Role BILLING & INSURANCE COORDINATOR
Address 308 6TH ST S, STE 105, ONEONTA, AL, 35121, 1842, USA
Government Business
Title PRIMARY POC
Name GLENDA J KING
Role BILLING & INSURANCE COORDINATOR
Address 308 6TH ST S, STE 105, ONEONTA, AL, 35121, 1842, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023630985 2020-05-14 2024-01-22 230 1ST AVE E, ONEONTA, AL, 351211734, US 230 1ST AVE E, ONEONTA, AL, 351211734, US

Contacts

Phone +1 205-625-5520
Fax 2058100564

Authorized person

Name MOLLY TIPTON
Role OD
Phone 2056255520

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role
TIPTON, MOLLY DR Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State