| Entity Name: | WINTER OPTOMETRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jun 2007 (18 years ago) |
| Document Number: | L07000058642 |
| FEI/EIN Number | 260283946 |
| Address: | 7160 N. DAVIS HWY., PENSACOLA, FL, 32504, US |
| Mail Address: | 7160 N. DAVIS HWY., PENSACOLA, FL, 32504, US |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649586892 | 2010-08-26 | 2010-08-26 | 6810 N DAVIS HWY, PENSACOLA, FL, 325046304, US | 6810 N DAVIS HWY, PENSACOLA, FL, 325046304, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-477-0194 |
| Fax | 8503804332 |
Authorized person
| Name | DR. MARK T WINTER |
| Role | PRESIDENT/OPTOMETRIST |
| Phone | 8504770194 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2316 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | EYEMED |
| Number | FL2316 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | 410017312 |
| State | FL |
| Issuer | DAVIS VISION |
| Number | 64251 |
| State | FL |
| Issuer | AVESIS |
| Number | 44939 |
| State | FL |
| Issuer | SPECTERA |
| Number | 47093 |
| State | FL |
| Issuer | MEDICAID |
| Number | 078855400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WINTER MARK T | Agent | 7160 N. DAVIS HWY., PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| WINTER MARK T | Managing Member | 7160 N. DAVIS HWY., PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-27 | 7160 N. DAVIS HWY., PENSACOLA, FL 32504 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-27 | 7160 N. DAVIS HWY., PENSACOLA, FL 32504 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-27 | 7160 N. DAVIS HWY., PENSACOLA, FL 32504 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-04 |
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
