Name: | Precision Optical, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 20 Mar 2003 (22 years ago) (Companies founded in March 2003) |
Entity Number: | 000-689-056 |
Register Number: | 000689056 |
ZIP code: | 35406 (Companies in Tuscaloosa, 35406) |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Principal Address: | TUSCALOOSA, AL |
Registered Office Street Address: | 2320 WESTMINSTER LNTUSCALOOSA, AL 35406 |
Activities
OPTICAL SHOP BUSINESS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841381274 | 2006-09-28 | 2013-05-16 | 700 HELEN KELLER BLVD, TUSCALOOSA, AL, 354042960, US | 700 HELEN KELLER BLVD, TUSCALOOSA, AL, 354042960, US | |||||||||||||||||||||||||||||||
|
Phone | +1 205-556-6115 |
Fax | 2055564655 |
Authorized person
Name | MS. PAMELA A BOJO |
Role | OFFICE MANAGER |
Phone | 2055566115 |
Taxonomy
Taxonomy Code | 332H00000X - Eyewear Supplier |
License Number | 630017644 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | 51515855 |
State | AL |
Issuer | MEDICAID |
Number | 009917625 |
State | AL |
Name | Role |
---|---|
DAVIS, THOMAS M JR | Agent |
Name | Role |
---|---|
DAVIS, THOMAS M JR | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State