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DAVIS OPTOMETRY GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: DAVIS OPTOMETRY GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Dec 1989 (36 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Apr 2021 (4 years ago)
Document Number: L38652
FEI/EIN Number 592980514
Address: 2922 JEFFERSON STREET, MARIANNA, FL, 32446, US
Mail Address: 2922 JEFFERSON STREET, MARIANNA, FL, 32446, US
ZIP code: 32446
City: Marianna
County: Jackson
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DAVIS MARION BJR. Director 2922 JEFFERSON ST, MARIANNA, FL, 32446
DAVIS JEFFREY KDR. Director 2922 JEFFERSON STREET, MARIANNA, FL, 32446
DAVIS JEFFREY KDR. Agent 2922 JEFFERSON STREET, MARIANNA, FL, 32446

National Provider Identifier

NPI Number:
1831256726

Authorized Person:

Name:
MRS. ROBIN MARY MEDINA
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
8505261200

Form 5500 Series

Employer Identification Number (EIN):
592980514
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-04-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT NAME CHANGED 2013-04-03 DAVIS, JEFFREY K, DR. -
CHANGE OF PRINCIPAL ADDRESS 2003-01-14 2922 JEFFERSON STREET, MARIANNA, FL 32446 -
CHANGE OF MAILING ADDRESS 2003-01-14 2922 JEFFERSON STREET, MARIANNA, FL 32446 -
REGISTERED AGENT ADDRESS CHANGED 2003-01-14 2922 JEFFERSON STREET, MARIANNA, FL 32446 -

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-10
REINSTATEMENT 2021-04-19
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-03-19
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-01-14
ANNUAL REPORT 2014-02-27

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$84,130
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$84,130
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$84,837.61
Servicing Lender:
T Bank, National Association
Use of Proceeds:
Payroll: $84,130
Jobs Reported:
11
Initial Approval Amount:
$84,130
Date Approved:
2021-03-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$84,130
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$84,989.74
Servicing Lender:
T Bank, National Association
Use of Proceeds:
Payroll: $84,130

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Date of last update: 01 Aug 2025

Sources: Florida Department of State