| Entity Name: | KELLEY EYE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jun 2022 (3 years ago) |
| Document Number: | L22000284151 |
| FEI/EIN Number | 88-2922298 |
| Address: | 1928 HOWELL BRANCH ROAD, WINTER PARK, FL 32792 |
| Mail Address: | 1928 HOWELL BRANCH ROAD, WINTER PARK, FL 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700519451 | 2022-07-08 | 2022-07-08 | 1928 HOWELL BRANCH RD, WINTER PARK, FL, 327921013, US | 1928 HOWELL BRANCH RD, WINTER PARK, FL, 327921013, US | |||||||||||||||
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| Phone | +1 407-671-5445 |
| Fax | 4076712899 |
Authorized person
| Name | DR. KAITLYN KELLEY |
| Role | OWNER/OPTOMETRIST |
| Phone | 4076715445 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EYE ASSOCIATES OF WINTER PARK, PA 401(K) PROFIT SHARING PLAN | 2023 | 882922298 | 2024-10-15 | KELLEY EYE, LLC | 15 | |||||||||||||||
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| Name | Role | Address |
|---|---|---|
| KELLEY, KAITLYN | Agent | 1928 HOWELL BRANCH ROAD, WINTER PARK, FL 32792 |
| Name | Role | Address |
|---|---|---|
| KELLEY, KAITLYN | Chief Executive Officer | 1928 HOWELL BRANCH ROAD, WINTER PARK, FL 32792 |
| Name | Role | Address |
|---|---|---|
| KELLEY, KAITLYN | President | 1928 HOWELL BRANCH ROAD, WINTER PARK, FL 32792 |
| Name | Role | Address |
|---|---|---|
| Lowell, Jeremy George | Chief Operating Officer | 1928 HOWELL BRANCH ROAD, WINTER PARK, FL 32792 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000086230 | EYE ASSOCIATES OF WINTER PARK | ACTIVE | 2022-07-21 | 2027-12-31 | No data | 1928 HOWELL BRANCH ROAD, WINTER PARK, FL, 32792 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-30 |
| Florida Limited Liability | 2022-06-22 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
