| Entity Name: | EMERALD COAST EYE CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jan 2009 (16 years ago) |
| Document Number: | L09000003504 |
| FEI/EIN Number | 264031816 |
| Address: | 1714 WEST 23RD STREET, SUITE K, PANAMA CITY, FL, 32405 |
| Mail Address: | 1714 WEST 23RD STREET, SUITE K, PANAMA CITY, FL, 32405 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265668842 | 2009-06-09 | 2012-11-06 | 1714 W 23RD ST, SUITE K, PANAMA CITY, FL, 324052932, US | 1714 W 23RD ST, SUITE K, PANAMA CITY, FL, 324052932, US | |||||||||||||||||||||||||
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| Phone | +1 850-215-9101 |
| Fax | 8502159102 |
Authorized person
| Name | DR. WILLIAM PAYTON PATTERSON |
| Role | OPTOMETRIST |
| Phone | 8508323421 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 4373 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | 6323570001 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMERALD COAST EYE CARE 401(K) PLAN | 2023 | 264031816 | 2024-07-24 | EMERALD COAST EYE CARE | 12 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-24 |
| Name of individual signing | KRISTY PATTERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8508323422 |
| Plan sponsor’s address | 1714 W 23RD STREET, SUITE K, PANAMA CITY, FL, 32405 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-19 |
| Name of individual signing | KRISTY PATTERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8508323422 |
| Plan sponsor’s address | 1714 W 23RD STREET, SUITE K, PANAMA CITY, FL, 32405 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-13 |
| Name of individual signing | KRISTY PATTERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PATTERSON WILLIAM P | Agent | 1714 WEST 23RD STREET, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| PATTERSON WILLIAM P | Manager | 1714 WEST 23RD STREET, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| Patterson Kristy H | Auth | 1714 WEST 23RD STREET, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-03 | 1714 WEST 23RD STREET, SUITE K, PANAMA CITY, FL 32405 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-24 | 1714 WEST 23RD STREET, SUITE K, PANAMA CITY, FL 32405 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-24 | 1714 WEST 23RD STREET, SUITE K, PANAMA CITY, FL 32405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-01-16 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
