| Name: | Envision Optics LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jan 2017 (8 years ago) (Companies founded in January 2017) |
| Entity Number: | 000-961-216 |
| Register Number: | 000961216 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Georgia |
| Principal Address: | 1943 Pleasant Hill RoadDuluth, GA 30096 |
| Registered Office Mailing Address: | 1943 Pleasant Hill RdDuluth, GA 30096 |
| Registered Office Street Address: | 212 W. Troy St. STE BDothan, AL 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629754817 | 2023-06-23 | 2023-06-23 | 1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL, 334456326, US | 169 STATE FARM PKWY, HOMEWOOD, AL, 352097111, US | |||||||||||||||||||||
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| Phone | +1 561-275-2020 |
| Fax | 5618288367 |
| Phone | +1 877-350-3399 |
Authorized person
| Name | DANIEL GARZA |
| Role | MANAGED CARE MANAGER |
| Phone | 5617206423 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Taxonomy Code | 332H00000X - Eyewear Supplier |
| Is Primary | No |
| Name | Role |
|---|---|
| BAL Optical LLC | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
