| Entity Name: | STEIN EYE CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Apr 2006 (19 years ago) |
| Date of dissolution: | 28 Oct 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Oct 2021 (3 years ago) |
| Document Number: | P06000053973 |
| FEI/EIN Number | 204696005 |
| Address: | 906-B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Mail Address: | 906-B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871542738 | 2006-05-09 | 2018-06-21 | 906B MAR WALT DR, FORT WALTON BEACH, FL, 325476752, US | 906B MAR WALT DR, FORT WALTON BEACH, FL, 325476752, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-301-2020 |
| Fax | 8503012023 |
Authorized person
| Name | DR. KAREN S STEIN |
| Role | PRESIDENT |
| Phone | 8503012020 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| License Number | ME 55866 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DR. KAREN STEIN'S BUSINESS NPI |
| Number | 1871542738 |
| State | FL |
| Issuer | MEDICAID |
| Number | 371458600 |
| State | FL |
| Issuer | FLORIDA MEDICAL LICENSE |
| Number | ME 55866 |
| State | FL |
| Issuer | DR. KAREN STEIN'S PERSONAL NPI |
| Number | 1386693489 |
| State | FL |
| Issuer | BCBS OF FLORIDA |
| Number | 17773 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STEIN JOSEPH F | Agent | 906B MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547 |
| Name | Role | Address |
|---|---|---|
| STEIN KAREN S | President | 1540 GLENLAKE CIRCLE, NICEVILLE, FL, 32578 |
| Name | Role | Address |
|---|---|---|
| STEIN JOSEPH F | Vice President | 1540 GLENLAKE CIRCLE, NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-10-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-06 | STEIN, JOSEPH F | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-11 | 906B MAR WALT DRIVE, FT. WALTON BEACH, FL 32547 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-10-28 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-01-26 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
