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CRESTVIEW VISION ASSOCIATES LLC

Company Details

Entity Name: CRESTVIEW VISION ASSOCIATES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Feb 2024 (a year ago)
Document Number: L24000081363
Address: 535 S FERDON BLVD, CRESTVIEW, FL 32536
Mail Address: 535 S FERDON BLVD STE B, CRESTVIEW, FL 32536
ZIP code: 32536
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558127977 2024-02-23 2024-02-23 535 S FERDON BLVD STE B, CRESTVIEW, FL, 325364446, US 535 S FERDON BLVD STE B, CRESTVIEW, FL, 325364446, US

Contacts

Phone +1 850-331-3918
Fax 8506346127

Authorized person

Name DAVID COX
Role MANAGER
Phone 5033139188

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes
Taxonomy Code 156FX1800X - Optician
Is Primary No

Agent

Name Role Address
COX, DAVID Agent 535 S FERDON BLVD STE B, CRESTVIEW, FL 32536

Manager

Name Role Address
COX, DAVID Manager 535 S FERDON BLVD STE B, CRESTVIEW, FL 32536
SCHLESINGER, JOSEPH, O.D Manager 535 S FERDON BLVD STE B, CRESTVIEW, FL 32536

Documents

Name Date
Florida Limited Liability 2024-02-14

Date of last update: 08 Feb 2025

Sources: Florida Department of State