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  5. LIFETIME EYECARE CENTER, LLC

LIFETIME EYECARE CENTER, LLC

Company Details

Entity Name: LIFETIME EYECARE CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jul 2006 (19 years ago)
Document Number: L06000070885
FEI/EIN Number 205844826
Address: 5455 MURRELL RD, SUITE 107, VIERA, FL, 32955
Mail Address: 5455 MURRELL RD, SUITE 107, ROCKLEDGE, FL, 32955
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619180775 2007-05-07 2011-01-04 5455 MURRELL RD, SUITE 107, VIERA, FL, 329556615, US 5455 MURRELL RD, SUITE 107, VIERA, FL, 329556615, US

Contacts
Phone +1 321-636-1972
Fax 3216361507

Authorized person
Name DR. MARK ROWELL FISHER
Role OPTOMETRIC PHYSICIAN
Phone 3216361972

Taxonomy
Taxonomy Code 332H00000X - Eyewear Supplier
License Number OPC 1739
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS OF FL
Number 19829
State FL
Issuer MEDICAID
Number 078956900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFETIME EYECARE CENTER LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 205844826 2024-07-11 LIFETIME EYECARE CENTER LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-10-10
Business code 621320
Sponsor’s telephone number 3216361972
Plan sponsor’s address 5455 MURRELL RD. #107, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
LIFETIME EYECARE CENTER LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 205844826 2023-06-30 LIFETIME EYECARE CENTER LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-10-10
Business code 621320
Sponsor’s telephone number 3216361972
Plan sponsor’s address 5455 MURRELL RD. #107, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2023-06-30
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
LIFETIME EYECARE CENTER LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 205844826 2022-07-04 LIFETIME EYECARE CENTER LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-10-10
Business code 621320
Sponsor’s telephone number 3216361972
Plan sponsor’s address 5455 MURRELL RD. #107, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2022-07-04
Name of individual signing MARK FISHER
Valid signature Filed with authorized/valid electronic signature
LIFETIME EYECARE CENTER LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 205844826 2021-07-20 LIFETIME EYECARE CENTER LLC 4
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2019-10-10
Business code 621320
Sponsor’s telephone number 3216361972
Plan sponsor’s address 5455 MURRELL RD. #107, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2020 205844826 2021-02-15 LIFETIME EYECARE CENTER LLC 4
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2019-01-01
Business code 621320
Sponsor’s telephone number 3216361972
Plan sponsor’s address 5455 MURRELL RD, SUITE 107, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 263212094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 6405 CENTURY AVE, MIDDLETON, WI, 53562
Administrator’s telephone number 8885054484
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2019 205844826 2020-07-09 LIFETIME EYECARE CENTER LLC 4
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2019-01-01
Business code 621320
Sponsor’s telephone number 3216361972
Plan sponsor’s address 5455 MURRELL RD, SUITE 107, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 263212094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 6405 CENTURY AVE, MIDDLETON, WI, 53562
Administrator’s telephone number 8885054484

Agent

Name Role Address
FISHER MARK R Agent 5455 MURRELL RD, VIERA, FL, 32955

Director

Name Role Address
FISHER MARK R Director 5455 MURRELL RD SUITE 107, VIERA, FL, 32955
Fisher Brett R Director 5455 MURRELL RD, VIERA, FL, 32955

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2011-01-04 5455 MURRELL RD, SUITE 107, VIERA, FL 32955 No data
REGISTERED AGENT ADDRESS CHANGED 2011-01-04 5455 MURRELL RD, SUITE 107, VIERA, FL 32955 No data
CHANGE OF MAILING ADDRESS 2007-04-15 5455 MURRELL RD, SUITE 107, VIERA, FL 32955 No data

Documents

Name Date
ANNUAL REPORT 2024-03-24
ANNUAL REPORT 2023-02-05
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-03-26
ANNUAL REPORT 2015-02-22

Related by officers

FISHER MARK R

FISHER TILE & MARBLE INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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