| Entity Name: | MIRVISION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 2006 (19 years ago) |
| Document Number: | P06000066362 |
| FEI/EIN Number | 510589569 |
| Address: | 2909 SW 160TH AVE, MIRAMAR, FL, 33027 |
| Mail Address: | 2909 SW 160TH AVE, MIRAMAR, FL, 33027 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801995816 | 2006-09-22 | 2018-02-23 | 2909 SW 160TH AVE, MIRAMAR, FL, 330274212, US | 2909 SW 160TH AVE, MIRAMAR, FL, 330274212, US | |||||||||||||||||||||||||
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| Phone | +1 954-437-9733 |
| Fax | 9544326116 |
Authorized person
| Name | DR. MICHAEL DEAN CHESEN |
| Role | OWNER |
| Phone | 9544379733 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2746 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620031100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAVENDER JOEL R | Agent | 507 SE 11TH CT, FT LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| CHESEN MICHAEL DDr. | Director | 2909 SW 160 AVE, MIRAMAR, FL, 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000104853 | PEARLE VISION | EXPIRED | 2015-10-14 | 2020-12-31 | No data | 2909 SW 160 AVE, MIRAMAR, FL, 33027 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-04-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
