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OPTIC PLANET LLC - Florida Company Profile

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Company Details

Entity Name: OPTIC PLANET LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Dec 2022 (3 years ago)
Document Number: L22000517897
FEI/EIN Number 92-1291850
Address: 3170 N FEDERAL HWY, STE 100M, LIGHTHOUSE POINT, FL, 33064, UN
Mail Address: 3170 N FEDERAL HWY, STE 100M, LIGHTHOUSE POINT, FL, 33064, UN
ZIP code: 33064
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TAKTUK ELIEZER Manager 3581 N 31st Ave, Hollywood, FL, 33021
EVANS AARON Member 6413 CONGRESS AVE STE 130, BOCA RATON, FL, 33487
GREEN GEORGE Agent 3170 N FEDERAL HWY, LIGHTHOUSE POINT, FL, 33064

National Provider Identifier

NPI Number:
1134800030
Certification Date:
2023-07-26

Authorized Person:

Name:
MS. DENISE MARTIN
Role:
BILLER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
3055580641

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000080723 LAKES EYE CENTER ACTIVE 2024-07-04 2029-12-31 - 1200 S. ROGERS CIRCLE, STE 16, BOCA RATON, FL, 33487
G23000030696 MORAN AND MAURI EYE CENTER ACTIVE 2023-03-07 2028-12-31 - 3170 N FEDERAL HWY, STE 100M, LIGHTHOUSE POINT, FL, 33064

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-27
Florida Limited Liability 2022-12-09

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Date of last update: 02 Aug 2025

Sources: Florida Department of State