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Enterprise Optical, L.L.C.

Details

Name: Enterprise Optical, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 15 Jul 1999 (25 years ago) (Companies founded in July 1999)
Date of dissolution: 06 Jul 2018
Entity Number: 000-665-245
Register Number: 000665245
Place of Formation: Coffee County
Registered Office Street Address: 812 EAST LEE STENTERPRISE, AL 36330-5000

Activities PROVIDE EYE CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538179866 2006-08-09 2008-03-21 812 E. LEE, ENTERPRISE, AL, 36330, US 812 E. LEE, ENTERPRISE, AL, 36330, US

Contacts

Phone +1 334-393-2020
Fax 3343936936

Authorized person

Name DR. LORIE C. WOODS
Role OWNER
Phone 3343932020

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Other Provider Identifiers

Issuer EYEMED
Number 111905
State AL
Issuer BLUE CROSS BLUE SHIELD
Number 51004506
State AL

Agent

Name Role Address
WOODS, ROLAND R JR Agent 400 OAKWOOD DRENTERPRISE, AL 36330

Member

Name Role Address
WOODS, LORIE C Member 400 OAKWOOD DRENTERPRISE, AL 36330
WOODS, ROLAND R JR Member 400 OAKWOOD DRENTERPRISE, AL 36330

Organizer

Name Role Address
WOODS, ROLAND R JR Organizer 400 OAKWOOD DRENTERPRISE, AL 36330
WOODS, LORIE C Organizer 400 OAKWOOD DRENTERPRISE, AL 36330
WALLACE, TAMMY D Organizer 888 EAST MAIN STREETARITON, AL 36311

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State