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Madison Optometry LLC

Details

Name: Madison Optometry LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Sep 2024 (6 months ago)
Entity Number: 001-155-792
Register Number: 001155792
ZIP code: 35758
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 8094 HIGHWAY 72 WESTMadison, AL 35758
Registered Office Mailing Address: 105 Old Ivey CirMadison, AL 35756

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356161061 2024-10-16 2024-10-16 105 OLD IVEY CIR, MADISON, AL, 357563484, US 8094 HIGHWAY 72 WEST, MADISON, AL, 35758, US

Contacts

Phone +1 256-337-7953

Authorized person

Name DANIEL CECIL
Role OPTOMETRIST/OWNER
Phone 2563377953

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role
Cecil, Daniel A Agent

Date of last update: 30 Sep 2024

Sources: Alabama Secretary of State