| Entity Name: | VISION SOURCE MAITLAND, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Sep 2023 (a year ago) |
| Document Number: | L23000447040 |
| FEI/EIN Number | 93-3610190 |
| Mail Address: | 690 LONG LAKE DR, OVIEDO, FL 32765 |
| Address: | 238 S ORLANDO AVE, MAITLAND, FL 32751 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194597690 | 2023-10-27 | 2023-10-27 | 690 LONG LAKE DR, OVIEDO, FL, 32765, US | 238 S ORLANDO AVE, MAITLAND, FL, 32751, US | |||||||||||||||||
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| Phone | +1 407-462-3738 |
| Fax | 4079711002 |
| Phone | +1 407-971-1001 |
Authorized person
| Name | DAVID N FISHER |
| Role | MANAGING MEMBER |
| Phone | 4074623738 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISHER, DAVID N | Agent | 690 LONG LAKE DR, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| FISHER, DAVID N | Manager | 690 LONG LAKE DR, OVIEDO, FL 32765 |
| FISHER, HOLLY R | Manager | 690 LONG LAKE DR, OVIEDO, FL 32765 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| Florida Limited Liability | 2023-09-27 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
