| Entity Name: | BUCCI EYECARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Feb 2013 (12 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 13 Feb 2013 (12 years ago) |
| Document Number: | L13000019909 |
| FEI/EIN Number | 46-1996525 |
| Address: | 4325 SUN 'N LAKE BLVD, SEBRING, FL, 33872, US |
| Mail Address: | 4325 SUN 'N LAKE BLVD, SEBRING, FL, 33872, US |
| ZIP code: | 33872 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568705499 | 2013-03-28 | 2015-09-24 | 922 COUGAR BLVD, SEBRING, FL, 338728705, US | 4325 SUN N LAKE BLVD, SUITE 104, SEBRING, FL, 338722171, US | |||||||||||||||||||||||||||
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| Phone | +1 401-374-7486 |
| Phone | +1 863-385-3937 |
| Fax | 8633853940 |
Authorized person
| Name | DR. JANE BUCCI O'HORA |
| Role | OWNER |
| Phone | 8633853937 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 4097 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008972700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LYBARGER BRUCE J | Agent | 226 S RIDGEWOOD DR, SEBRING, FL, 33870 |
| Name | Role | Address |
|---|---|---|
| BUCCI OHORA JANE O | Managing Member | 922 COUGAR BLVD, SEBRING, FL, 338728705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-10 | 4325 SUN 'N LAKE BLVD, STE 104, SEBRING, FL 33872 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-10 | 4325 SUN 'N LAKE BLVD, STE 104, SEBRING, FL 33872 | No data |
| LC NAME CHANGE | 2013-02-13 | BUCCI EYECARE, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
