| Entity Name: | EDISON EYE CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jun 2022 (3 years ago) |
| Document Number: | L22000289045 |
| FEI/EIN Number | 88-3189749 |
| Address: | 19527 HIGHLAND OAKS DRIVE, SUITE 203, ESTERO, FL, 33928, US |
| Mail Address: | 19527 Highland Oaks Drive, Suite 203, Estero, FL, 33928, US |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255055646 | 2022-09-28 | 2022-09-28 | 1214 SWEETWATER LN UNIT 2305, NAPLES, FL, 341104177, US | 19527 HIGHLAND OAKS DR STE 203, ESTERO, FL, 339289637, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 616-834-2598 |
Authorized person
| Name | BENJAMIN KONYNENBELT |
| Role | MEMBER |
| Phone | 6168342598 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Taxonomy Code | 152WC0802X - Corneal and Contact Management Optometrist |
| Is Primary | No |
| Taxonomy Code | 152WP0200X - Pediatric Optometrist |
| Is Primary | No |
| Taxonomy Code | 152WS0006X - Sports Vision Optometrist |
| Is Primary | No |
| Taxonomy Code | 152WV0400X - Vision Therapy Optometrist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KONYNENBELT BENJAMIN J | Agent | 19527 Highland Oaks Drive, Estero, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| KONYNENBELT JESSIE E | Authorized Member | 19527 Highland Oaks Drive, Estero, FL, 33928 |
| KONYNENBELT BENJAMIN J | Authorized Member | 19527 Highland Oaks Drive, Estero, FL, 33928 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-11 | 19527 HIGHLAND OAKS DRIVE, SUITE 203, ESTERO, FL 33928 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-11 | 19527 Highland Oaks Drive, Suite 203, Estero, FL 33928 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-03-11 |
| Florida Limited Liability | 2022-06-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
