| Entity Name: | MOBILE VISION PARTNERS, P.L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Oct 2015 (9 years ago) |
| Document Number: | L15000175283 |
| FEI/EIN Number | 47-5634894 |
| Address: | 2451 MCMULLEN BOOTH RD N STE 201, CLEARWATER, FL, 33759, US |
| Mail Address: | 2451 MCMULLEN BOOTH RD N STE 201, CLEARWATER, FL, 33759, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750746095 | 2015-12-30 | 2019-03-07 | 2451 N MCMULLEN BOOTH RD, SUITE 221, CLEARWATER, FL, 337591356, US | 2451 N MCMULLEN BOOTH RD STE 201, CLEARWATER, FL, 337591362, US | |||||||||||||||||||||||
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| Phone | +1 844-789-2020 |
| Fax | 8447892020 |
Authorized person
| Name | DR. LELAND KELLY SMITH III |
| Role | CO-OWNER |
| Phone | 8447892020 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017249400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GASSMAN ALAN SESQ | Agent | 1245 COURT ST, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| cusumano michael ADr. | co | 2451 MCMULLEN BOOTH RD N STE 201, CLEARWATER, FL, 33759 |
| smith III leland kDr. | co | 2451 MCMULLEN BOOTH RD N STE 201, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| cusumano michael ADr. | o | 2451 MCMULLEN BOOTH RD N STE 201, CLEARWATER, FL, 33759 |
| smith III leland kDr. | o | 2451 MCMULLEN BOOTH RD N STE 201, CLEARWATER, FL, 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-12 | 2451 MCMULLEN BOOTH RD N STE 201, CLEARWATER, FL 33759 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-12 | 2451 MCMULLEN BOOTH RD N STE 201, CLEARWATER, FL 33759 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-04-19 |
| Florida Limited Liability | 2015-10-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
