| Entity Name: | TOTAL VISION OF PORT ORANGE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
TOTAL VISION OF PORT ORANGE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Feb 2003 (22 years ago) |
| Document Number: | P03000017971 |
| FEI/EIN Number |
542098594
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL, 32128 |
| Mail Address: | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL, 32128 |
| ZIP code: | 32128 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598984676 | 2007-04-25 | 2009-10-22 | 5820 S WILLIAMSON BLVD STE 106, PORT ORANGE, FL, 321286400, US | 5820 S WILLIAMSON BLVD STE 106, PORT ORANGE, FL, 321286400, US | |||||||||||||||||||||
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| Phone | +1 386-767-4449 |
| Fax | 3867671980 |
Authorized person
| Name | DR. PHILLIP L STEPHENS |
| Role | OWNER |
| Phone | 3867674449 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620815100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Wilgers Kirsten | Officer | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL, 32128 |
| Wilgers Kirsten | Director | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL, 32128 |
| Wilgers Jason R | Chief Financial Officer | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL, 32128 |
| Wilgers Kirsten | Agent | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL, 32128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-01-12 | Wilgers, Kirsten | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-17 | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL 32128 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-06 | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL 32128 | - |
| CHANGE OF MAILING ADDRESS | 2006-02-06 | 5820 S. WILLIAMSON BLVD SUITE 106, PORT ORANGE, FL 32128 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-21 |
| ANNUAL REPORT | 2020-02-21 |
| ANNUAL REPORT | 2019-06-17 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3929167206 | 2020-04-27 | 0491 | PPP | 5820 S WILLIAMSON BLVD 106, PORT ORANGE, FL, 32128 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2495608407 | 2021-02-03 | 0491 | PPS | 5820 S Williamson Blvd # 106, Port Orange, FL, 32128-6400 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
