| Entity Name: | FLORIDA VISION OPTIQUE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Dec 2002 (22 years ago) |
| Document Number: | P02000133764 |
| FEI/EIN Number | 810587577 |
| Mail Address: | 9330 LBJ Freeway, SUITE 900, DALLAS, TX, 75243, US |
| Address: | 1050 S.E. MONTEREY ROAD, STE 103, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265856702 | 2014-02-04 | 2022-11-30 | 1050 SE MONTEREY RD STE 104, STUART, FL, 349944512, US | 10050 SW INNOVATION WAY STE 101, PORT SAINT LUCIE, FL, 349872117, US | |||||||||||||||||||||||
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| Phone | +1 772-345-5050 |
| Fax | 7722237159 |
Authorized person
| Name | GEORGE L NEAL |
| Role | PRESIDENT |
| Phone | 4692140144 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | OPC2170 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA BLUE |
| Number | 19275B |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Luchs Jodi M.D. | Director | 1050 S.E. MONTEREY ROAD, STUART, FL, 34993 |
| Name | Role | Address |
|---|---|---|
| NEAL GEORGE | President | 9330 LBJ Freeway, DALLAS, TX, 75243 |
| Name | Role | Address |
|---|---|---|
| Schultz Kurt | Treasurer | 9330 LBJ Freeway, DALLAS, TX, 75243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-07-12 | 1050 S.E. MONTEREY ROAD, STE 103, STUART, FL 34994 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-14 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-14 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-24 | 1050 S.E. MONTEREY ROAD, STE 103, STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-12 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-03-08 |
| Reg. Agent Change | 2019-02-14 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
