| Entity Name: | EYE TO EYE VISION, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Dec 2017 (7 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 06 Oct 2021 (3 years ago) |
| Document Number: | L17000252063 |
| FEI/EIN Number | 823750649 |
| Mail Address: | 2328 Citadel Way, MELBOURNE, FL, 32940, US |
| Address: | 4305 Pineda Causeway, Melbourne, FL, 32940-2316, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558878140 | 2018-01-04 | 2023-01-08 | 2944 CASTERTON DR, MELBOURNE, FL, 329407608, US | 4305 PINEDA CSWY, MELBOURNE, FL, 329402316, US | |||||||||||||||||||||||||||
|
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| Phone | +1 951-345-2196 |
| Phone | +1 321-428-2925 |
| Fax | 3214282926 |
Authorized person
| Name | DR. DANNHI V CROMER |
| Role | PRESIDENT/OPTOMETRIST |
| Phone | 9513452196 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4799 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 14976500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Cromer DanNhi | Agent | 2328 Citadel Way, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| CROMER DANNHI | Manager | 2944 Casterton Dr., MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-17 | Cromer, DanNhi | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-17 | 2328 Citadel Way, 103 # 302, MELBOURNE, FL 32940 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-13 | 4305 Pineda Causeway, Melbourne, FL 32940-2316 | No data |
| LC NAME CHANGE | 2021-10-06 | EYE TO EYE VISION, PLLC | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-09 | 4305 Pineda Causeway, Melbourne, FL 32940-2316 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-08 |
| ANNUAL REPORT | 2022-02-17 |
| AMENDED ANNUAL REPORT | 2021-11-13 |
| LC Name Change | 2021-10-06 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
