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St. Clair Eye Care, LLC

Details

Name: St. Clair Eye Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Jan 2000 (25 years ago) (Companies founded in January 2000)
Entity Number: 000-667-919
Register Number: 000667919
ZIP code: 35004 (Companies in Saint Clair, 35004)
County: Saint Clair
Place of Formation: Saint Clair County
Principal Address: MOODY, AL
Registered Office Street Address: 2824 MOODY PKWYMOODY, AL 35004

Activities OPTOMETRY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356409080 2006-12-05 2007-12-20 6448 US HIGHWAY 11, SPRINGVILLE, AL, 351464010, US 6448 US HIGHWAY 11, SPRINGVILLE, AL, 351464010, US

Contacts

Phone +1 205-467-7608
Fax 2054672120

Authorized person

Name DR. SHELLEIGH MCVICKER BUCKINGHAM II
Role VICE PRESIDENT
Phone 2054677608

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number S951TA530
State AL
Is Primary Yes
Taxonomy Code 152W00000X - Optometrist
License Number S970TA531
State AL
Is Primary No

Agent

Name Role
BUCKINGHAM, TODD Agent

Member

Name Role Address
BUCKINGHAM, SHELLEIGH Member 521 RIDGE ROADBIRMINGHAM, AL 35206
BUCKINGHAM, TODD Member No data

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State