| Name: | EXCEL EYECARE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Mar 2024 (8 months ago) (Companies founded in March 2024) |
| Entity Number: | 001-126-962 |
| Register Number: | 001126962 |
| ZIP code: | 36250 (Companies in Calhoun, 36250) |
| County: | Calhoun |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 236 BARRINGTON CIRCLEALEXANDRIA, AL 36250 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396592382 | 2024-05-06 | 2024-05-06 | 236 BARRINGTON CIR, ALEXANDRIA, AL, 362507205, US | 236 BARRINGTON CIR, ALEXANDRIA, AL, 362507205, US | |||||||||||||||||||||
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| Phone | +1 256-452-1572 |
| Fax | 2565461094 |
Authorized person
| Name | DR. JAY MICHAEL JOHNSON |
| Role | OWNER/PRESIDENT |
| Phone | 2564521572 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 09940954 |
| State | AL |
| Name | Role |
|---|---|
| JOHNSON, DR. MICHAEL | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
