| Entity Name: | VISION ARTS EYE CARE CENTER OF PERRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Jun 2004 (21 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P04000086939 |
| FEI/EIN Number | 20-2373591 |
| Address: | 1502 SOUTH JEFFERSON ST., PERRY, FL 32348 |
| Mail Address: | 1502 SOUTH JEFFERSON ST., PERRY, FL 32348 |
| ZIP code: | 32348 |
| County: | Taylor |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982883229 | 2007-11-02 | 2009-08-14 | 1502 S JEFFERSON ST, PERRY, FL, 323485601, US | 1502 S JEFFERSON ST, PERRY, FL, 323485601, US | |||||||||||||||||||||||||
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| Phone | +1 850-584-2408 |
| Fax | 8508381833 |
Authorized person
| Name | DR. WYATT R TAYLOR |
| Role | PRESIDENT/OPTOMETRIST |
| Phone | 8505842408 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC00784 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 084155200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAYLOR, WYATT RPO | Agent | 1502 SOUTH JEFFERSON ST., PERRY, FL 32348 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, WYATT R | President | 1502 SOUTH JEFFERSON STREET, PERRY, FL 32348 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, WYATT R | Owner | 1502 SOUTH JEFFERSON STREET, PERRY, FL 32348 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, FAITH | Secretary | 1502 SOUTH JEFFERSON STREET, PERRY, FL 32348 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, FAITH | Treasurer | 1502 SOUTH JEFFERSON STREET, PERRY, FL 32348 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-16 | TAYLOR, WYATT RPO | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-11 | 1502 SOUTH JEFFERSON ST., PERRY, FL 32348 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-11 | 1502 SOUTH JEFFERSON ST., PERRY, FL 32348 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-11 | 1502 SOUTH JEFFERSON ST., PERRY, FL 32348 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-03-16 |
| ANNUAL REPORT | 2009-01-05 |
| ANNUAL REPORT | 2008-01-11 |
| ANNUAL REPORT | 2007-01-08 |
| ANNUAL REPORT | 2006-01-17 |
| ANNUAL REPORT | 2005-07-29 |
| Domestic Profit | 2004-06-03 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
