| Name: | Pelham Eye Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Oct 2020 (4 years ago) (Companies founded in October 2020) |
| Entity Number: | 000-777-608 |
| Register Number: | 000777608 |
| ZIP code: | 35124 (Companies in Shelby, 35124) |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 200 CANYON PARK DRIVEPELHAM, AL 35124 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487252920 | 2020-10-16 | 2020-10-16 | 200 CANYON PARK DR, PELHAM, AL, 351244817, US | 200 CANYON PARK DR, PELHAM, AL, 351244817, US | |||||||||||||||||||||||||
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| Phone | +1 205-910-1750 |
Authorized person
| Name | DR. JENNIFER WILLIAMS |
| Role | OPTOMETRIST |
| Phone | 2059101750 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1861708745 |
| State | AL |
| Issuer | NPI |
| Number | 1962561746 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, JENNIFER | Agent | 2332 REBECCA BELLE DRIVEPRATTVILLE, AL 36067 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
