Entity Name: | EYE CARE PHYSICIANS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 23 Jan 2004 (21 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 03 Nov 2011 (13 years ago) |
Document Number: | P04000017174 |
FEI/EIN Number | 20-0918622 |
Address: | 5101 North Davis Hwy., Pensacola, FL, 32503, US |
Mail Address: | 5101 North Davis Hwy., Pensacola, FL, 32503, US |
ZIP code: | 32503 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942295514 | 2005-09-20 | 2009-07-01 | 5101 NORTH DAVIS HWY, SUITE A, PENSACOLA, FL, 325032040, US | 5101 NORTH DAVIS HWY, SUITE A, PENSACOLA, FL, 325032040, US | |||||||||||||||||||||||||||||||
|
Phone | +1 850-438-1277 |
Fax | 8504381278 |
Authorized person
Name | DR. CARL H SPEAR |
Role | PRESIDENT |
Phone | 8504381277 |
Taxonomy
Taxonomy Code | 207W00000X - Ophthalmology Physician |
License Number | ME0076695 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 620994700 |
State | FL |
Issuer | BLUE SHIELD |
Number | 77757 |
State | FL |
Name | Role |
---|---|
C T CORPORATION SYSTEM | Agent |
Name | Role | Address |
---|---|---|
Concool Barry M | President | 5101 North Davis Hwy., Pensacola, FL, 32503 |
Name | Role | Address |
---|---|---|
Concool Barry M | Secretary | 5101 North Davis Hwy., Pensacola, FL, 32503 |
Name | Role | Address |
---|---|---|
Spear Carl H | Director | 5101 North Davis Hwy., Pensacola, FL, 32503 |
Concool Barry M | Director | 5101 North Davis Hwy., Pensacola, FL, 32503 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000093260 | PANHANDLE VISION INSTITUTE | ACTIVE | 2022-08-08 | 2027-12-31 | No data | 5101 NORTH DAVIS HIGHWAY, SUITE #B, PENSACOLA, FL, 32503 |
G13000050230 | PANHANDLE VISION INSTITUTE | EXPIRED | 2013-05-29 | 2018-12-31 | No data | 8158 NAVARRE PARKWAY, NAVARRE, FL, 32566 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-02 | 5101 North Davis Hwy., Pensacola, FL 32503 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-02 | 5101 North Davis Hwy., Pensacola, FL 32503 | No data |
REGISTERED AGENT NAME CHANGED | 2016-07-13 | C T CORPORATION SYSTEM | No data |
REGISTERED AGENT ADDRESS CHANGED | 2016-07-13 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
REINSTATEMENT | 2011-11-03 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-02 |
ANNUAL REPORT | 2023-03-31 |
ANNUAL REPORT | 2022-03-25 |
ANNUAL REPORT | 2021-04-06 |
ANNUAL REPORT | 2020-05-02 |
ANNUAL REPORT | 2019-03-25 |
ANNUAL REPORT | 2018-04-04 |
ANNUAL REPORT | 2017-04-15 |
Reg. Agent Change | 2016-07-13 |
ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State