| Name: | Whiting Eye Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Jul 2020 (4 years ago) (Companies founded in July 2020) |
| Entity Number: | 000-640-206 |
| Register Number: | 000640206 |
| ZIP code: | 36602 (Companies in Mobile, 36602) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 301 ST. JOSEPH ST.MOBILE, AL 36602 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386258523 | 2020-09-04 | 2020-09-04 | PO BOX 850531, MOBILE, AL, 366850531, US | 601 E I65 SERVICE RD S, MOBILE, AL, 366063901, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 251-479-4458 |
| Fax | 2514794824 |
Authorized person
| Name | DR. KARL WHITING |
| Role | OPTOMETRIST |
| Phone | 2514794458 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | S-A90-TA-658 |
| State | AL |
| Issuer | MEDICAID |
| Number | S-A90-TA-658 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| WHITING, KARL | Agent | 301 ST. JOSEPH ST.MOBILE, AL 36602 |
| Name | Role | Address |
|---|---|---|
| WHITING, KARL | Organizer | 301 ST. JOSEPH ST.MOBILE, AL 36602 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
