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The Eye Site, P.C.

Details

Name: The Eye Site, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 14 May 2012 (13 years ago)
Entity Number: 000-056-146
Register Number: 000056146
ZIP code: 36904
County: Choctaw
Place of Formation: Choctaw County
Registered Office Street Address: 524 EAST PUSHMATAHA STREETBUTLER, AL 36904
Authorized Capital: 1000 @ $1.00 PV

Activities OPTOMETRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104172642 2012-08-02 2014-08-12 504 S MULBERRY AVE, BUTLER, AL, 369042804, US 504 S MULBERRY AVE, BUTLER, AL, 369042804, US

Contacts

Phone +1 205-459-7483

Authorized person

Name DR. STEPHANIE OMMEN
Role PRESIDENT
Phone 2054597483

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
License Number S-C87
State AL
Is Primary Yes

Agent

Name Role Address
OMMEN, STEPHANIE G Agent 3037 SUMMIT DRIVEFULTONDALE, AL 35068

Director

Name Role Address
OMMEN, STEPHANIE G Director 3037 SUMMIT DRIVEFULTONDALE, AL 35068

Incorporator

Name Role Address
OMMEN, STEPHANIE G Incorporator 3037 SUMMIT DRIVEFULTONDALE, AL 35068

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State