| Entity Name: | LAN Q. O'DONNELL, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Sep 2004 (20 years ago) |
| Document Number: | P04000129247 |
| FEI/EIN Number | 201607597 |
| Address: | 6757 US Hwy 98, Suite 101, Santa Rosa Beach, FL, 32459, US |
| Mail Address: | 6757 US Hwy 98, Suite 101, Santa Rosa Beach, FL, 32459, US |
| ZIP code: | 32459 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356438634 | 2006-10-06 | 2020-02-11 | 870 MACK BAYOU RD, SANTA ROSA BEACH, FL, 324597150, US | 6757 US HIGHWAY 98 W STE 101, SANTA ROSA BEACH, FL, 324594780, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-622-4000 |
| Fax | 8506220072 |
Authorized person
| Name | LAN O'DONNELL |
| Role | PRESIDENT/OWNER |
| Phone | 8506224000 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 3968 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Shafer Randa S | Agent | 191 Southern Pines Rd, Santa Rosa Beach, FL, 32459 |
| Name | Role | Address |
|---|---|---|
| O'DONNELL LAN Q | President | 6757 US Hwy 98, SANTA ROSA BEACH, FL, 32459 |
| Name | Role | Address |
|---|---|---|
| O'DONNELL LAN Q | Treasurer | 6757 US Hwy 98, SANTA ROSA BEACH, FL, 32459 |
| Name | Role | Address |
|---|---|---|
| O'DONNELL LAN Q | Secretary | 6757 US Hwy 98, SANTA ROSA BEACH, FL, 32459 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000052828 | O'DONNELL EYE INSTITUTE | ACTIVE | 2022-04-26 | 2027-12-31 | No data | 6757 US HIGHWAY 98 SUITE 101, SANTA ROSA BEACH, FL, 32459 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-22 | Shafer, Randa S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-22 | 191 Southern Pines Rd, Santa Rosa Beach, FL 32459 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-17 | 6757 US Hwy 98, Suite 101, Santa Rosa Beach, FL 32459 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-17 | 6757 US Hwy 98, Suite 101, Santa Rosa Beach, FL 32459 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
