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Precision Optical, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
DAVIS, THOMAS M JR Agent

Member

Name Role
DAVIS, THOMAS M JR Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State