| Name: | James W. Bedsole, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 30 Dec 1998 (26 years ago) |
| Entity Number: | 000-199-671 |
| Register Number: | 000199671 |
| ZIP code: | 35125 |
| County: | Saint Clair |
| Place of Formation: | Saint Clair County |
| Principal Address: | PELL CITY, AL |
| Registered Office Street Address: | 1723 COGSWELL AVEPELL CITY, AL 35125 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710159728 | 2008-03-31 | 2022-11-09 | 2020 MARTIN ST S, PELL CITY, AL, 351282326, US | 2020 MARTIN ST S, PELL CITY, AL, 351282326, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 205-884-2020 |
| Fax | 2053388840 |
Authorized person
| Name | DR. JAMES W. BEDSOLE |
| Role | PRESDENT |
| Phone | 2058842020 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | S404-TA-011 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000045072 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | 410039493 |
| State | AL |
| Issuer | BLUECROSS PMD |
| Number | 45072 |
| State | AL |
| Name | Role |
|---|---|
| BEDSOLE, JAMES W | Agent |
| Name | Role |
|---|---|
| CROOKS, C THOMAS III | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
