| Name: | Alabama Family Optometry One Hour Optical, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 30 Jun 2017 (8 years ago) |
| Date of dissolution: | 12 Sep 2022 |
| Entity Number: | 000-395-651 |
| Register Number: | 000395651 |
| ZIP code: | 36207 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 1900 GOLDEN SPRINGS ROADANNISTON, AL 36207 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407359607 | 2018-03-14 | 2018-03-14 | 1900 GOLDEN SPRINGS ROAD, ANNISTON, AL, 36207, US | 1900 GOLDEN SPRINGS ROAD, ANNISTON, AL, 36207, US | |||||||||||||||||||||||
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| Phone | +1 256-272-4020 |
| Fax | 2564174039 |
Authorized person
| Name | MAURICE DANIELE VALENTINI |
| Role | EMPLOYEE |
| Phone | 2563249101 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | R-172-TA-809 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1922115179 |
| Name | Role | Address |
|---|---|---|
| VALENTINI, MAURICE | Agent | 184 RAPTOR WAYANNISTON, AL 36207 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
