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Hazlehurst Eye Clinic, P.C.

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Company Details

Name: Hazlehurst Eye Clinic, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 24 Jun 2008 (17 years ago)
Business ID: 934171
ZIP code: 39601
County: Lincoln
State of Incorporation: MISSISSIPPI
Principal Office Address: 211 N Whitworth AvenueBrookhaven, MS 39601

Agent

Name Role Address
Smith, Chad Agent 211 N Whitworth Avenue, Brookhaven, MS 39601

Incorporator

Name Role Address
Chad Smith Incorporator 211 N Whitworth Avenue, Brookhaven, MS 39601

Director

Name Role Address
Chad Smith Director 211 N Whitworth Avenue, Brookhaven, MS 39601

President

Name Role Address
Chad Smith President 211 N Whitworth Avenue, Brookhaven, MS 39601

Vice President

Name Role Address
Susanna Smith Vice President 1225 Kraner Lane, Brookhaven, MS 39601

National Provider Identifier

NPI Number:
1407010937

Authorized Person:

Name:
CHAD P SMITH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
6018942952

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-09-27 Annual Report For Hazlehurst Eye Clinic, P.C.
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2016-09-21 Annual Report For Hazlehurst Eye Clinic, P.C.
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2015-06-08 Annual Report For Hazlehurst Eye Clinic, P.C.
Annual Report Filed 2014-11-04 Annual Report For Hazlehurst Eye Clinic, P.C.
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Annual Report Filed 2013-05-06 Annual Report

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Date of last update: 08 May 2025

Sources: Company Profile on Mississippi Secretary of State Website