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FIRST COAST EYEWEAR, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ANSBACHER & SCHNEIDER, PA Agent 5150 BELFORT RD. BLG#100, JACKSONVILLE, FL, 32256

Vice President

Name Role Address
SCHNIPPER ELLEN Vice President 2001 COLLEGE STREET, JACKSONVILLE, FL, 32204

SPTD

Name Role Address
SCHNIPPER ROBERT IDr. SPTD 2001 COLLEGE ST., JACKSONVILLE, FL, 32204

Events

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