| Entity Name: | FISCHER PEDIATRIC OPTOMETRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Aug 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Dec 2014 (10 years ago) |
| Document Number: | P06000100932 |
| FEI/EIN Number | 571234167 |
| Address: | 8220 W FLAGLER ST, MIAMI, FL, 33144 |
| Mail Address: | 8220 W FLAGLER ST, MIAMI, FL, 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114649571 | 2022-09-13 | 2022-09-13 | 8220 W FLAGLER ST, MIAMI, FL, 331442028, US | 8220 W FLAGLER ST, MIAMI, FL, 331442028, US | |||||||||||||||||||||
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| Phone | +1 305-225-1145 |
| Fax | 3052255158 |
Authorized person
| Name | DR. VICKY SABRINA FISCHER |
| Role | OWNER |
| Phone | 3052251145 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 621108900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FISCHER VICKY S | Agent | 8220 W. Flagler St, Miami, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| VICKY FISCHER | Director | 8220 W FLAGLER ST, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2014-12-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-05-01 | 8220 W. Flagler St, Miami, FL 33144 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-06-27 | 8220 W FLAGLER ST, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2011-06-27 | 8220 W FLAGLER ST, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-03 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
