| Entity Name: | DAWN T. VAN, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Nov 2002 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Jul 2011 (14 years ago) |
| Document Number: | P02000120651 |
| FEI/EIN Number | 020654193 |
| Address: | 8794 Boynton Beach Blvd, Boynton Beach, FL, 33472, US |
| Mail Address: | 8669 BAYSTONE COVE, BOYNTON BEACH, FL, 33473 |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568649275 | 2008-01-24 | 2008-02-25 | 151 SW 184TH AVE, PEMBROKE PINES, FL, 330295465, US | 151 SW 184TH AVE, PEMBROKE PINES, FL, 330295465, US | |||||||||||||||||||
|
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| Phone | +1 954-437-8777 |
| Fax | 9544426524 |
Authorized person
| Name | DR. DAWN T VAN |
| Role | OPTOMETRIST SOLE PROPRIETOR |
| Phone | 9544378777 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3746 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CANYON EYECARE 401(K) PLAN | 2023 | 020654193 | 2024-06-19 | DAWN T. VAN, O.D., P.A. | 4 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| VAN DAWN T | Agent | 8669 BAYSTONE COVE, BOYNTON BEACH, FL, 33473 |
| Name | Role | Address |
|---|---|---|
| VAN DAWN T | Director | 8669 BAYSTONE COVE, BOYNTON BEACH, FL, 33473 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000134367 | CANYON EYECARE | ACTIVE | 2016-12-14 | 2026-12-31 | No data | 8669 BAYSTONE COVE, BOYNTON BEACH, FL, 33473 |
| G12000085587 | BROWARD VISION CARE | EXPIRED | 2012-08-29 | 2017-12-31 | No data | 151 SW 184TH AVENUE, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-26 | VAN, DAWN T. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-08 | 8794 Boynton Beach Blvd, Suite 114, Boynton Beach, FL 33472 | No data |
| REINSTATEMENT | 2011-07-06 | No data | No data |
| PENDING REINSTATEMENT | 2011-07-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-03 | 8794 Boynton Beach Blvd, Suite 114, Boynton Beach, FL 33472 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-02-03 | 8669 BAYSTONE COVE, BOYNTON BEACH, FL 33473 | No data |
| REINSTATEMENT | 2005-02-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-05-03 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
