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  5. ATLANTIC EYE INSTITUTE, P.A.

ATLANTIC EYE INSTITUTE, P.A.

Company Details

Entity Name: ATLANTIC EYE INSTITUTE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Aug 2000 (25 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 04 Oct 2019 (5 years ago)
Document Number: P00000074697
FEI/EIN Number 593662455
Address: 3316 THIRD STREET SOUTH, SUITE 103, JACKSONVILLE BEACH, FL, 32250, US
Mail Address: 3316 3RD ST S, STE 103, JACKSONVILLE BEACH, FL, 32250, US
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346383270 2007-02-14 2024-05-20 3316 3RD ST S, SUITE 103, JACKSONVILLE, FL, 322506073, US 3316 3RD ST S, SUITE 103, JACKSONVILLE, FL, 322506073, US

Contacts
Phone +1 904-241-2990

Authorized person
Name NEIL T SHMUNES
Role PRESIDENT
Phone 9045955122

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATLANTIC EYE INSTITUTE, P. A. PROFIT SHARING PLAN 2023 593662455 2024-06-21 ATLANTIC EYE INSTITUTE, P.A. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9045955122
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2024-06-21
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P. A. PROFIT SHARING PLAN 2022 593662455 2023-06-21 ATLANTIC EYE INSTITUTE, P.A. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9045955122
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-21
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P. A. PROFIT SHARING PLAN 2021 593662455 2022-07-07 ATLANTIC EYE INSTITUTE, P.A. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9042417865
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2022-07-07
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-07
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P. A. PROFIT SHARING PLAN 2020 593662455 2021-10-06 ATLANTIC EYE INSTITUTE, P.A. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9042417865
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-06
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P. A. PROFIT SHARING PLAN 2019 593662455 2020-06-26 ATLANTIC EYE INSTITUTE, P.A. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9042417865
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2020-06-26
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-26
Name of individual signing BARBARA RICHMOND
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P. A. PROFIT SHARING PLAN 2018 593662455 2019-05-29 ATLANTIC EYE INSTITUTE, P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9042417865
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing NEIL SHMUNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-29
Name of individual signing NEIL SHMUNES
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P.A. PROFIT SHARING PLAN 2017 593662455 2018-07-19 ATLANTIC EYE INSTITUTE, P.A. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9042417865
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2018-07-19
Name of individual signing NEIL SHMUNES
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P.A. PROFIT SHARING PLAN 2016 593662455 2017-10-03 ATLANTIC EYE INSTITUTE, P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9042417865
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2017-10-03
Name of individual signing NEIL SHMUNES
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P.A. PROFIT SHARING PLAN 2015 593662455 2016-07-18 ATLANTIC EYE INSTITUTE, P.A. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9042417865
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing NEIL SHMUNES
Valid signature Filed with authorized/valid electronic signature
ATLANTIC EYE INSTITUTE, P.A. PROFIT SHARING PLAN 2014 593662455 2015-07-01 ATLANTIC EYE INSTITUTE, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9042417865
Plan sponsor’s address 3316 3RD STREET SOUTH, SUITE 103, JACKSONVILLE, FL, 32250

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing NEIL T. SHMUNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-01
Name of individual signing NEIL T. SHMUNES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICHMOND BARBARA Agent 3316 THIRD STREET SOUTH, JACKSONVILLE BEACH, FL, 32250

Director

Name Role Address
DUSS CHARLES V Director 3316 THIRD STREET SOUTH #103, JACKSONVILLE BEACH, FL, 32250
SAMARA KARIM J Director 3316 THIRD STREET SOUTH #103, JACKSONVILLE BEACH, FL, 32250

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000122508 ATLANTIC RETINA EXPIRED 2016-11-11 2021-12-31 No data 3316 THIRD STREET SOUTH, SUITE 103, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-01-20 3316 THIRD STREET SOUTH, SUITE 103, JACKSONVILLE BEACH, FL 32250 No data
AMENDED AND RESTATEDARTICLES 2019-10-04 No data No data
REGISTERED AGENT NAME CHANGED 2019-10-04 RICHMOND, BARBARA No data
REGISTERED AGENT ADDRESS CHANGED 2019-10-04 3316 THIRD STREET SOUTH, SUITE 103, JACKSONVILLE BEACH, FL 32250 No data
CHANGE OF PRINCIPAL ADDRESS 2002-01-21 3316 THIRD STREET SOUTH, SUITE 103, JACKSONVILLE BEACH, FL 32250 No data
NAME CHANGE AMENDMENT 2000-09-05 ATLANTIC EYE INSTITUTE, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-12
ANNUAL REPORT 2022-01-14
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-20
Amended and Restated Articles 2019-10-04
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-01-27

Related by officers

SAMARA KARIM J

OPHTHALMOLOGY CONSULTING SERVICES, L.L.C.

RICHMOND BARBARA

PALM CREST VILLAS, INC. REMNANTS OF RUTH, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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