| Entity Name: | ADVANCED EYE CARE AND OPTICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Feb 2002 (23 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 09 Oct 2006 (18 years ago) |
| Document Number: | P02000023242 |
| FEI/EIN Number | 043609673 |
| Address: | 3546 ST. JOHNS BLUFF ROAD SOUTH, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 3546 ST. JOHNS BLUFF ROAD SOUTH, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982794368 | 2006-10-13 | 2014-01-30 | 3546 SAINT JOHNS BLUFF RD S, UNIT 203, JACKSONVILLE, FL, 322242713, US | 3546 ST JOHNS BLUFF RD S, UNIT 203, JACKSONVILLE, FL, 32224, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-996-1533 |
| Fax | 9049961535 |
Authorized person
| Name | DR. MICHAEL A POWERS |
| Role | PRESIDENT |
| Phone | 9049961533 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3509 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620752900 |
| State | FL |
| Issuer | BLUECROSS BLUESHIELD |
| Number | 20725 |
| State | FL |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| POWERS MICHAEL A | President | 3546 ST. JOHNS BLUFF ROAD SOUTH, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-18 | 3546 ST. JOHNS BLUFF ROAD SOUTH, SUITE 203, JACKSONVILLE, FL 32224 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-18 | 3546 ST. JOHNS BLUFF ROAD SOUTH, SUITE 203, JACKSONVILLE, FL 32224 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-02 | NRAI Services, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-02 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| NAME CHANGE AMENDMENT | 2006-10-09 | ADVANCED EYE CARE AND OPTICAL, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-08-04 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-02-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
