Name: | Momans, Incorporated |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 09 Jul 1979 (46 years ago) |
Entity Number: | 000-057-254 |
Register Number: | 000057254 |
ZIP code: | 35903 |
County: | Etowah |
Place of Formation: | Etowah County |
Registered Office Street Address: | 2673 VERANDA TRACEGADSDEN, AL 35903 |
Authorized Capital: | $3,000 |
Paid Share Capital: | $3,000 |
Activities
EYE GLASSES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1760677090 | 2007-09-10 | 2012-10-02 | 221 BROAD ST, GADSDEN, AL, 359013713, US | 221 BROAD ST, GADSDEN, AL, 359013713, US | |||||||||||||||||||||||||||||
|
Phone | +1 256-547-7537 |
Fax | 2565477877 |
Authorized person
Name | DR. KAREN S VANOY |
Role | OPTOMETRIST |
Phone | 2565477537 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
License Number | S865TA419 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | UNITED HEALTHCARE |
Number | 1837639 |
Issuer | MEDICAID |
Number | 529802860 |
State | AL |
Name | Role | Address |
---|---|---|
SMITH, SANDRA | Agent | 1504 TOOMER STOPELIKA, AL 36801 |
Name | Role | Address |
---|---|---|
MOMAN, JUANITA | Incorporator | No data |
MOMAN, W L | Incorporator | No data |
SMITH, SANDRA | Incorporator | 1504 TOOMER STOPELIKA, AL 36801 |
Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
DCA | AWARD | V247P2581 | 2008-08-01 | 2009-07-31 | 2011-07-31 | |||||||||||||||||||||
|
Title | OPTOMETRY SERVICES |
NAICS Code | 621320: OFFICES OF OPTOMETRISTS |
Product and Service Codes | Q512: OPTOMETRY SERVICES |
Recipient Details
Recipient | MOMANS, INC |
UEI | GXEDNJXEBNH3 |
Legacy DUNS | 139630532 |
Recipient Address | UNITED STATES, 221 BROAD ST, GADSDEN, 359013713 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State