| Name: | AUBURN OPHTHALMIC SURGERY CENTER, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Oct 2020 (4 years ago) (Companies founded in October 2020) |
| Entity Number: | 000-786-927 |
| Register Number: | 000786927 |
| ZIP code: | 36856 (Companies in Russell, 36856) |
| County: | Russell |
| Place of Formation: | Russell County |
| Registered Office Street Address: | 6 CHURCHILL DRIVEFORT MITCHELL, AL 36856 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215528005 | 2021-02-03 | 2023-07-27 | 2460 INTERSTATE DR STE C, OPELIKA, AL, 368011534, US | 2460 INTERSTATE DR STE C, OPELIKA, AL, 368011534, US | |||||||||||||||||||||||||||||||
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| Phone | +1 334-705-8803 |
| Fax | 7065964849 |
Authorized person
| Name | MRS. CLARISA MILAGROS FERNANDEZ |
| Role | ADMINISTRATOR |
| Phone | 9737383113 |
Taxonomy
| Taxonomy Code | 207WX0120X - Cornea and External Diseases Specialist Physician |
| Is Primary | No |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Name | Role |
|---|---|
| MCBROOM, ELISA D | Agent |
| Name | Role | Address |
|---|---|---|
| COPPEDGE, BRADLEY R | Organizer | 1301 1ST AVENUE, SUITE 100COLUMBUS, GA 31902 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
