| Entity Name: | LOW VISION CENTER OF NORTHEAST FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 May 2004 (21 years ago) |
| Date of dissolution: | 26 Sep 2014 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (11 years ago) |
| Document Number: | N04000004873 |
| FEI/EIN Number |
201215132
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32204 |
| Mail Address: | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32204 |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235329848 | 2007-07-30 | 2008-06-25 | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044710, US | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL, 322044710, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 904-389-9989 |
| Fax | 9043891060 |
Authorized person
| Name | DR. TIFFANY E OWENS |
| Role | CLINICAL DIRECTOR |
| Phone | 9043899989 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4045 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DE3862 |
| Issuer | MEDICAID |
| Number | 621075900 |
| State | FL |
| Issuer | BCBS |
| Number | 28569 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KINNE FRANCES B | Director | 4032 MISSION HILLS CIRCLE WEST, JACKSONVILLE, FL, 32205 |
| KNAUER DEBORAH E | Director | 1900 RIVERSIDE AVE SUITE 115, JACKSONVILLE, FL, 32204 |
| KNAUER W.J. I | Director | 2535 RIVERSIDE AVE, JACKSONVILLE, FL, 32204 |
| Seely Fred L | Director | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32204 |
| SEELY FRED L | Agent | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL, 32204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-21 | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL 32204 | - |
| CHANGE OF MAILING ADDRESS | 2008-01-21 | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL 32204 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-21 | 2519 RIVERSIDE AVENUE, JACKSONVILLE, FL 32204 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-02-16 |
| ANNUAL REPORT | 2011-03-25 |
| ANNUAL REPORT | 2010-03-09 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-01-21 |
| ANNUAL REPORT | 2007-03-07 |
| ANNUAL REPORT | 2006-09-01 |
| ANNUAL REPORT | 2005-08-31 |
| Domestic Non-Profit | 2004-05-14 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
