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Alabama Retina & Vitreous, LLC

Details

Name: Alabama Retina & Vitreous, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Jul 2021 (3 years ago) (Companies founded in July 2021)
Entity Number: 000-871-127
Register Number: 000871127
Historical Names: Eye Supply, LLC
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 2101 Highland Avenue South, Suite 350Birmingham, AL 35205

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174195341 2021-07-15 2021-07-15 2101 HIGHLAND AVE S STE 350, BIRMINGHAM, AL, 352054009, US 2101 HIGHLAND AVE S STE 350, BIRMINGHAM, AL, 352054009, US

Contacts

Phone +1 205-558-2525
Fax 2055582554

Authorized person

Name EDGAR READY IV
Role MEMBER
Phone 2055582525

Taxonomy

Taxonomy Code 261QS0132X - Ophthalmologic Surgery Clinic/Center
Is Primary Yes

Agent

Name Role
Dance, Jeffery W Agent

Organizer

Name Role Address
Simonetti, D J Organizer 1901 Sixth Avenue North, Suite 2600Birmingham, AL 35203

Events

Event Date Event Type Old Value New Value
2022-06-09 Name Change Eye Supply, LLC Alabama Retina & Vitreous, LLC

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State