| Entity Name: | EARTH VISION EYE CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Sep 2002 (22 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 12 Oct 2006 (18 years ago) |
| Document Number: | P02000098037 |
| FEI/EIN Number | 113652672 |
| Address: | 5499 N FEDERAL HWY, BOCA RATON, FL, 33487, US |
| Mail Address: | 5499 N FEDERAL HWY, BOCA RATON, FL, 33487, US |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942484654 | 2007-12-18 | 2012-05-30 | 5499 N FEDERAL HWY STE E, BOCA RATON, FL, 334874993, US | 5499 N FEDERAL HWY STE E, BOCA RATON, FL, 334874993, US | |||||||||||||||||||||||||
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| Phone | +1 561-988-0300 |
| Fax | 5619880350 |
Authorized person
| Name | MR. MARK W PITTALUGA |
| Role | PRESIDENT |
| Phone | 5619880300 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2886 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620863100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PITTALUGA MARK W | Agent | 5499 N FEDERAL HWY, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| PITTALUGA MARK W | Director | 5499 N FEDERAL HWY, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| PITTALUGA MARK W | President | 5499 N FEDERAL HWY, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| PITTALUGA MARK W | Secretary | 5499 N FEDERAL HWY, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| PITTALUGA MARK W | Treasurer | 5499 N FEDERAL HWY, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-28 | 5499 N FEDERAL HWY, Suite E, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-28 | 5499 N FEDERAL HWY, Suite E, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-28 | PITTALUGA, MARK W. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-28 | 5499 N FEDERAL HWY, Suite E, BOCA RATON, FL 33487 | No data |
| CANCEL ADM DISS/REV | 2006-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-01-26 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
