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  5. MAGRUDER EYE INSTITUTE, PLLC

MAGRUDER EYE INSTITUTE, PLLC

Company Details

Entity Name: MAGRUDER EYE INSTITUTE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Dec 2021 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 03 Feb 2022 (3 years ago)
Document Number: L21000529778
FEI/EIN Number 59-3347759
Address: 1911 N. MILLS AVENUE, ORLANDO, FL, 32803, US
Mail Address: 555 Winderley Place, Suite 400, Maitland, FL, 32751, US
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881661692 2006-03-01 2024-07-15 1911 N MILLS AVE, ORLANDO, FL, 328031432, US 1911 N MILLS AVE, ORLANDO, FL, 328031432, US

Contacts
Phone +1 407-893-8200
Fax 4078938220

Authorized person
Name JOHN LEHR
Role PRESIDENT
Phone 4078938200

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 253428200
State FL
Issuer MEDICARE
Number 72412
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAGRUDER EYE INSTITUTE 401(K) PLAN 2019 593347759 2020-10-07 MAGRUDER EYE INSTITUTE 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803
MAGRUDER EYE INSTITUTE 401(K) PLAN 2018 593347759 2019-10-04 MAGRUDER EYE INSTITUTE 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803
MAGRUDER EYE INSTITUTE 401(K) PLAN 2017 593347759 2018-09-24 MAGRUDER EYE INSTITUTE 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803
MAGRUDER EYE INSTITUTE 401(K) PLAN 2016 593347759 2017-10-10 MAGRUDER EYE INSTITUTE 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803
MAGRUDER EYE INSTITUTE 401(K) PLAN 2015 593347759 2016-07-25 MAGRUDER EYE INSTITUTE 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
MAGRUDER EYE INSTITUTE 401(K) PLAN 2014 593347759 2015-07-09 MAGRUDER EYE INSTITUTE 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
MAGRUDER EYE INSTITUTE 401(K) PLAN 2013 593347759 2014-09-19 MAGRUDER EYE INSTITUTE 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2014-09-19
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-19
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
MAGRUDER EYE INSTITUTE 401(K) PLAN 2012 593347759 2013-06-28 MAGRUDER EYE INSTITUTE 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-28
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
MAGRUDER EYE INSTITUTE 401(K) PLAN 2011 593347759 2012-07-19 MAGRUDER EYE INSTITUTE 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803

Plan administrator’s name and address
Administrator’s EIN 593347759
Plan administrator’s name MAGRUDER EYE INSTITUTE
Plan administrator’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803
Administrator’s telephone number 4078938228

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-19
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
MAGRUDER EYE INSTITUTE 401(K) PLAN 2010 593347759 2011-07-05 MAGRUDER EYE INSTITUTE 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4078938228
Plan sponsor’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803

Plan administrator’s name and address
Administrator’s EIN 593347759
Plan administrator’s name MAGRUDER EYE INSTITUTE
Plan administrator’s address 1911 NORTH MILLS AVENUE, ORLANDO, FL, 32803
Administrator’s telephone number 4078938228

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing JOHN T. LEHR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Authorized Member

Name Role
EYECARE PHYSICIANS OF FLORIDA, P.A. Authorized Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000063691 SPECIALTY EYE ASSOCIATES ACTIVE 2024-05-16 2029-12-31 No data 555 WINDERLY PLACE, SUITE 400, MAITLAND, FL, 32751
G24000023293 BAY AREA RETINA CONSULTANTS ACTIVE 2024-02-12 2029-12-31 No data 555 WINDERLEY PLACE, MAITLAND, FL, 32751
G23000155366 ADVANCED EYE CARE ACTIVE 2023-12-21 2028-12-31 No data 555 WINDERLEY PLACE SUITE 400, MAITLAND, FL, 32751
G23000155367 MILLS EYE + FACIAL SURGERY ACTIVE 2023-12-21 2028-12-31 No data 555 WINDERLEY PLACE SUITE 400, MAITLAND, FL, 32751
G23000154072 THE OPTICAL SHOPPE AT ADVANCED EYE CARE ACTIVE 2023-12-19 2028-12-31 No data 555 WINDERELY PLACE, STE 400, MAITLAND, FL, 32751
G23000153300 ELGUT EYE CARE ACTIVE 2023-12-18 2028-12-31 No data 55 WINDERLEY PLACE SUITE 400, MAITLAND, FL, 32751
G22000130627 MAGRUDER EYE INSTITUTE ACTIVE 2022-10-19 2027-12-31 No data 1911 N MILLS AVENUE, ORLANDO, FL, 32803
G22000123620 WINTER PARK OPHTHALMOLOGY ACTIVE 2022-10-03 2027-12-31 No data 1911 N MILLS AVENUE, ORLANDO, FL, 32803
G22000089593 COHN EYE CENTER ACTIVE 2022-07-29 2027-12-31 No data 1911 N. MILLS AVENUE, ORLANDO, FL, 32803
G22000089597 R&E OPTICAL ACTIVE 2022-07-29 2027-12-31 No data 1911 N. MILLS AVENUE, ORLANDO, FL, 32803

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-03-02 1911 N. MILLS AVENUE, ORLANDO, FL 32803 No data
LC AMENDMENT 2022-02-03 No data No data
REGISTERED AGENT NAME CHANGED 2022-02-03 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-03 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data
CONVERSION 2021-12-20 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P99000097936. CONVERSION NUMBER 500000221455

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-03-02
AMENDED ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2022-03-03
LC Amendment 2022-02-03
Florida Limited Liability 2021-12-20

Related by officers

No related officers

Related by address

1911 N. MILLS AVENUE, ORLANDO, FL, 32803, US

MEI HOLDCO, INC. EYE LEASING I, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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