| Entity Name: | EYE CARE PROFESSIONALS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Jan 2002 (23 years ago) |
| Document Number: | P02000009543 |
| FEI/EIN Number | 800021929 |
| Address: | 3674 HAMILTON KY, WEST PALM BEACH, FL, 33411-6466, US |
| Mail Address: | 3674 HAMILTON KY, WEST PALM BEACH, FL, 33411-6466, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023689239 | 2021-07-08 | 2021-07-08 | 3674 HAMILTON KY, ROYAL PALM BEACH, FL, 334116466, US | 2144 W INDIANTOWN RD, JUPITER, FL, 334585810, US | |||||||||||||||||||||||
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| Phone | +1 561-301-4637 |
| Fax | 5614782609 |
| Phone | +1 561-747-7460 |
Authorized person
| Name | BARBARA A GEORGE |
| Role | VP |
| Phone | 5613014637 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005793702 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GEORGE BARBARA | Agent | 3674 HAMILTON KY, WEST PALM BEACH, FL, 334116466 |
| Name | Role | Address |
|---|---|---|
| GEORGE WILLIAM S | President | 3674 HAMILTON KY, WEST PALM BEACH, FL, 334116466 |
| Name | Role | Address |
|---|---|---|
| GEORGE WILLIAM S | Secretary | 3674 HAMILTON KY, WEST PALM BEACH, FL, 334116466 |
| Name | Role | Address |
|---|---|---|
| GEORGE BARBARA A | Vice President | 3674 HAMILTON KY, WEST PALM BEACH, FL, 334116466 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000103493 | FAMILY EYE CARE PROFESSIONALS, P.A. | ACTIVE | 2013-10-21 | 2028-12-31 | No data | 3674 HAMILTON KEY, ROYAL PALM BEACH, FL, 33411 |
| G12000056544 | WILLIAM GEORGE, O.D., P.A. | EXPIRED | 2012-06-12 | 2017-12-31 | No data | 3674 HAMILTON KEY, WEST PALM BEACH, FL, 33411, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-29 | 3674 HAMILTON KY, WEST PALM BEACH, FL 33411-6466 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-29 | 3674 HAMILTON KY, WEST PALM BEACH, FL 33411-6466 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-29 | GEORGE, BARBARA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-29 | 3674 HAMILTON KY, WEST PALM BEACH, FL 33411-6466 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-03-03 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
