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DR. C VISION CARE, PLLC

Company Details

Entity Name: DR. C VISION CARE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Oct 2016 (8 years ago)
Document Number: L16000183971
FEI/EIN Number 81-4058145
Address: 9409 W Hwy 98 Ste. 50, Pensacola, FL, 32506, US
Mail Address: 10240 PALAO DR., LILLIAN, AL, 36549, US
ZIP code: 32506
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326631979 2021-02-15 2021-02-15 9409 W HIGHWAY 98 STE 50, PENSACOLA, FL, 325066134, US 9409 W HIGHWAY 98 STE 50, PENSACOLA, FL, 325066134, US

Contacts

Phone +1 850-456-2019

Authorized person

Name DR. CHARLES ALAN CHARBONNEAU
Role OD/OWNER
Phone 8504562019

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. C VISION CARE, PLLC 401(K) PLAN 2023 814058145 2024-09-17 DR. C VISION CARE, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8504562019
Plan sponsor’s address 9409 WEST HIGHWAY 98, SUITE 50, PENSACOLA, FL, 32506
DR. C VISION CARE, PLLC 401(K) PLAN 2022 814058145 2023-10-03 DR. C VISION CARE, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8504562019
Plan sponsor’s address 9409 WEST HIGHWAY 98, SUITE 50, PENSACOLA, FL, 32506
DR. C VISION CARE, PLLC 401(K) PLAN 2021 814058145 2022-10-09 DR. C VISION CARE, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8504562019
Plan sponsor’s address 9409 WEST HIGHWAY 98, SUITE 50, PENSACOLA, FL, 32506

Agent

Name Role Address
CHARBONNEAU MARY Agent 9409 W Hwy 98 Ste. 50, Pensacola, FL, 32506

Authorized Member

Name Role Address
CHARBONNEAU MARY Authorized Member 10240 PALAO DR., LILLIAN, AL, 36549
CHARBONNEAU CHARLES Authorized Member 10240 PALAO DR., LILLIAN, AL, 36549

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-07 9409 W Hwy 98 Ste. 50, Pensacola, FL 32506 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-07 9409 W Hwy 98 Ste. 50, Pensacola, FL 32506 No data

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-03-18
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-05
Florida Limited Liability 2016-10-04

Date of last update: 01 Feb 2025

Sources: Florida Department of State