| Entity Name: | PASTORE-TRAN EYECARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Feb 2003 (22 years ago) |
| Document Number: | P03000018251 |
| FEI/EIN Number | 743080388 |
| Address: | 1285 US Highway 1, Rockledge, FL, 32955, US |
| Mail Address: | 1285 US Highway 1, Rockledge, FL, 32955, US |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700979424 | 2006-10-02 | 2018-04-15 | P.O. BOX 560580, ROCKLEDGE, FL, 329560580, US | 1285 US HIGHWAY 1, ROCKLEDGE, FL, 329552711, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-693-4124 |
| Phone | +1 321-639-2020 |
Authorized person
| Name | DR. JACQUELINE TRAN |
| Role | OWNER |
| Phone | 3216392020 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3769 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC3723 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003516800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TRAN-PASTORE JACQUELINE | Agent | 1285 US Highway 1, Rockledge, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| TRAN-PASTORE JACQUELINE | President | 1285 US Highway 1, Rockledge, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| PASTORE DOMINIC J | Vice President | 1285 US Highway 1, Rockledge, FL, 32955 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000058492 | ACTIVE FLORIDA EYECARE | ACTIVE | 2019-05-16 | 2029-12-31 | No data | 5500 STADIUM PARKWAY, SUITE 102, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-10 | 1285 US Highway 1, Rockledge, FL 32955 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-31 | 1285 US Highway 1, Rockledge, FL 32955 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-31 | 1285 US Highway 1, Rockledge, FL 32955 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-24 | TRAN-PASTORE, JACQUELINE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-08-10 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
