| Name: | Eye-Lab Vision Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 25 May 2001 (24 years ago) |
| Entity Number: | 000-216-654 |
| Register Number: | 000216654 |
| ZIP code: | 36867 |
| County: | Russell |
| Place of Formation: | Russell County |
| Principal Address: | PHENIX CITY, AL |
| Registered Office Street Address: | 2018 HIGHWAY 280 BYPASSPHENIX CITY, AL 36867 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578590733 | 2006-06-26 | 2020-04-15 | 2011 HIGHWAY 280 BYPASS, PHENIX CITY, AL, 36867, US | 2011 HIGHWAY 280 BYPASS, PHENIX CITY, AL, 36867, US | |||||||||||||||||||||
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| Phone | +1 334-480-4015 |
| Fax | 3344489918 |
Authorized person
| Name | MR. GRADY STONE II |
| Role | PRESIDENT/OWNER |
| Phone | 3344804015 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529907970 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7R2U4 | Obsolete | U.S./Canada Manufacturer | 2016-11-14 | 2021-11-15 | 2021-11-14 | No data | |||||||||||||
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| POC | GRADY STONE |
| Phone | +1 706-571-8758 |
| Address | 2011 HWY 280/431 N, PHENIX CITY, AL, 36867, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| STONE, GRADY | Agent | 7018 VININGS WAYCOLUMBUS, GA 31907 |
| Name | Role | Address |
|---|---|---|
| STONE, GRADY | Incorporator | 7018 VININGS WAYCOLUMBUS, GA 31907 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
