| Entity Name: | DAMIAN LUE, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Apr 2000 (25 years ago) |
| Document Number: | P00000041440 |
| FEI/EIN Number | 651008643 |
| Address: | 5851 NW 177TH STREET, MIAMI, FL, 33015, US |
| Mail Address: | 13365 S.W. 100 TERR., MIAMI, FL, 33186 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689902272 | 2009-11-19 | 2009-11-19 | 5851 NW 177TH ST, HIALEAH, FL, 330155127, US | 5851 NW 177TH ST, HIALEAH, FL, 330155127, US | |||||||||||||||||||||||||
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| Phone | +1 305-558-4326 |
| Fax | 3058262841 |
Authorized person
| Name | DR. DAMIAN FRANCIS LUE |
| Role | PRESIDENT |
| Phone | 3055584326 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3021 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620227600 |
| State | FL |
| Name | Role |
|---|---|
| KTG&S REGISTERED AGENT CORPORATION | Agent |
| Name | Role | Address |
|---|---|---|
| LUE DAMIAN O | Director | 13365 SW 100 TERR., MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-29 | 5851 NW 177TH STREET, MIAMI, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2005-07-19 | 5851 NW 177TH STREET, MIAMI, FL 33015 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-03-27 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
