| Name: | Pro-Vision Eye Health, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 08 Feb 2008 (17 years ago) |
| Date of dissolution: | 15 Mar 2021 |
| Entity Number: | 000-415-794 |
| Register Number: | 000415794 |
| ZIP code: | 36305 |
| County: | Houston |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 205 GRACELAND DR STE 1DOTHAN, AL 36305 |
Activities
OPTOMETRY SERVICES/RELATED PRODUCTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861646796 | 2008-11-05 | 2008-11-05 | 205 GRACELAND DR, SUITE 1, DOTHAN, AL, 363057347, US | 205 GRACELAND DR, SUITE 1, DOTHAN, AL, 363057347, US | |||||||||||||||||||
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| Phone | +1 334-702-3937 |
| Fax | 3347023938 |
Authorized person
| Name | DR. BRYAN D BROWN |
| Role | OPTOMETRIST |
| Phone | 3347023937 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | R132TA436 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRYAN D BROWN | Agent |
| Name | Role |
|---|---|
| BROWN, BRYAN D | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
