Entity Name: | OPTICAL RETAIL ASSOCIATES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 28 Apr 2011 (14 years ago) |
Date of dissolution: | 28 Sep 2018 (6 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2018 (6 years ago) |
Document Number: | L11000050722 |
FEI/EIN Number | 452151295 |
Address: | 5113 Davis Hwy, PENSACOLA, FL, 32503, US |
Mail Address: | 5113 Davis Hwy, PENSACOLA, FL, 32503, US |
ZIP code: | 32503 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841582525 | 2011-05-12 | 2014-12-19 | 5113 N DAVIS HWY, SUITE 11, PENSACOLA, FL, 325032035, US | 5113 N DAVIS HWY, SUITE 11, PENSACOLA, FL, 325032035, US | |||||||||||||||||||||
|
Phone | +1 850-549-3450 |
Fax | 8504976219 |
Authorized person
Name | MR. CARL H SPEAR |
Role | OWNER/OPTOMETRIST |
Phone | 8505493450 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 003669300 |
State | FL |
Name | Role | Address |
---|---|---|
LEUCHTMAN GARY B | Agent | 501 COMMENDENCIA STREET, PENSACOLA, FL, 32502 |
Name | Role | Address |
---|---|---|
SPEAR CARL | Managing Member | 5113 N DAVIS HIGHWAY, PENSACOLA, FL, 32503 |
SPEAR KATIE | Managing Member | 5113 N DAVIS HIGHWAY, PENSACOLA, FL, 32503 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-04-29 | 5113 Davis Hwy, 10, PENSACOLA, FL 32503 | No data |
CHANGE OF MAILING ADDRESS | 2016-04-29 | 5113 Davis Hwy, 10, PENSACOLA, FL 32503 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-04-29 |
ANNUAL REPORT | 2015-04-24 |
ANNUAL REPORT | 2014-04-28 |
ANNUAL REPORT | 2013-04-30 |
ANNUAL REPORT | 2012-03-05 |
Florida Limited Liability | 2011-04-28 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State