| Entity Name: | OCULAR PROSTHETICS LAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Sep 1977 (47 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 03 Jan 1992 (33 years ago) |
| Document Number: | 544669 |
| FEI/EIN Number | 59-1766126 |
| Address: | 10 S Bumby AVE, Orlando, FL 32803 |
| Mail Address: | 10 S Bumby AVE, Orlando, FL 32803 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942429154 | 2007-04-25 | 2021-06-28 | 10 SOUTH BUMBY AVE, ORLANDO, FL, 328034434, US | 2845 N HARBOR CITY BLVD STE 2-3, MELBOURNE, FL, 329356217, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 407-246-5451 |
| Fax | 4072460222 |
| Phone | +1 321-259-3847 |
Authorized person
| Name | JAMES RICHARD BOWEN JR. |
| Role | OFFICE ADMINISTRATOR |
| Phone | 3212593847 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | M2133 |
| State | FL |
| Issuer | WELLCARE INS. |
| Number | NA691 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOWEN, JAMES R, Jr. | Agent | 10 S Bumby AVE, Orlando, FL 32803 |
| Name | Role | Address |
|---|---|---|
| BOWEN, JAMES R, Jr. | President | 10405 Oakview Pointe Terrace, Gotha, FL 34734 |
| Name | Role | Address |
|---|---|---|
| Huang, Ju | Director | 10405 Oakview Pointe Terrace, Gotha, FL 34734 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-10 | 10 S Bumby AVE, Orlando, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-10 | 10 S Bumby AVE, Orlando, FL 32803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-10 | 10 S Bumby AVE, Orlando, FL 32803 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-19 | BOWEN, JAMES R, Jr. | No data |
| NAME CHANGE AMENDMENT | 1992-01-03 | OCULAR PROSTHETICS LAB, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-25 |
| AMENDED ANNUAL REPORT | 2022-08-13 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-07-26 |
| ANNUAL REPORT | 2016-04-21 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
