| Entity Name: | 20/20 EYEGLASS SUPERSTORE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Apr 2000 (25 years ago) |
| Document Number: | P00000034973 |
| FEI/EIN Number | 593637153 |
| Address: | 1555 SEMORAN BLVD., STE. 1221, WINTER PARK, FL, 32792, US |
| Mail Address: | 1555 SEMORAN BLVD., STE. 1221, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356489918 | 2007-02-02 | 2011-08-31 | 1555 N. SEMORAN BLVD., SUITE 1221, WINTER PARK, FL, 32792, US | 1555 N. SEMORAN BLVD., SUITE 1221, WINTER PARK, FL, 32792, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-767-5600 |
| Fax | 4073310277 |
Authorized person
| Name | MR. EDWARD UCCI |
| Role | GENERAL MANAGER |
| Phone | 4077675600 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | 0844 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 156FC0801X - Contact Lens Fitter |
| License Number | DO 5119 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 156FC0801X - Contact Lens Fitter |
| License Number | DO 2187 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 156FX1800X - Optician |
| License Number | DO 2187 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 156FX1800X - Optician |
| License Number | DO 5119 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332H00000X - Eyewear Supplier |
| License Number | OE 874 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332H00000X - Eyewear Supplier |
| License Number | OE874 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 20186 |
| State | FL |
| Issuer | SPECTERA |
| Number | 10654 |
| State | FL |
| Issuer | EYEMED |
| Number | FL0844 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 20/20 EYEGLASS SUPERSTORE 401(K) PLAN | 2023 | 593637153 | 2024-09-16 | 20/20 EYEGLASS SUPERSTORE | 30 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-16 |
| Name of individual signing | MELISSA ROMANO-SCHNEIDER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-09-01 |
| Business code | 446130 |
| Sponsor’s telephone number | 4077675600 |
| Plan sponsor’s address | STE 1221, WINTER PARK, FL, 32792 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-09 |
| Name of individual signing | MELISSA ROMANO-SCHNEIDER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Ucci Edward W | Agent | 784 Zoe Ct, Oviedo, FL, 32765 |
| Name | Role | Address |
|---|---|---|
| UCCI EDWARD W | President | 784 Zoe ct, Oviedo, FL, 32765 |
| Name | Role | Address |
|---|---|---|
| UCCI BARBARA A | Vice President | 784 ZOE CT, OVIEDO, FL, 32765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000100530 | 20-20 SUPERCENTER | ACTIVE | 2024-08-23 | 2029-12-31 | No data | 1555 SEMORAN BLCD, SUITE 1221, WINTER PARK, FL, 32792 |
| G11000011615 | 20/20 SUPERCENTER | EXPIRED | 2011-01-31 | 2016-12-31 | No data | 1555 SEMORAN BOULEVARD, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-28 | 784 Zoe Ct, Oviedo, FL 32765 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-31 | Ucci, Edward W | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-12 | 1555 SEMORAN BLVD., STE. 1221, WINTER PARK, FL 32792 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-12-22 | 1555 SEMORAN BLVD., STE. 1221, WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-24 |
| Reg. Agent Change | 2020-01-21 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-03-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
