Entity Name: | FIRST COAST EYEWEAR, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 07 Mar 1989 (36 years ago) |
Document Number: | K70786 |
FEI/EIN Number | 592935749 |
Mail Address: | 5150 Belfort Road, Bldg. 100, JACKSONVILLE, FL, 32256, US |
Address: | 2001 COLLEGE ST, JACKSONVILLE, FL, 32204, US |
ZIP code: | 32204 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811990963 | 2005-05-23 | 2011-11-28 | 2001 COLLEGE ST, JACKSONVILLE, FL, 322043703, US | 2001 COLLEGE ST, JACKSONVILLE, FL, 322043703, US | |||||||||||||||||||||||||||||||
|
Phone | +1 904-355-5555 |
Fax | 9043559966 |
Authorized person
Name | DR. ROBERT I SCHNIPPER |
Role | OWNER |
Phone | 9043555555 |
Taxonomy
Taxonomy Code | 332H00000X - Eyewear Supplier |
License Number | 07702800003 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 078661600 |
State | FL |
Issuer | BCBS |
Number | D7173 |
State | FL |
Name | Role | Address |
---|---|---|
ANSBACHER & SCHNEIDER, PA | Agent | 5150 BELFORT RD. BLG#100, JACKSONVILLE, FL, 32256 |
Name | Role | Address |
---|---|---|
SCHNIPPER ELLEN | Vice President | 2001 COLLEGE STREET, JACKSONVILLE, FL, 32204 |
Name | Role | Address |
---|---|---|
SCHNIPPER ROBERT IDr. | SPTD | 2001 COLLEGE ST., JACKSONVILLE, FL, 32204 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State