| Entity Name: | FLEMING ISLAND VISION CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 May 2007 (18 years ago) |
| Document Number: | P07000052519 |
| FEI/EIN Number | 260618545 |
| Mail Address: | 3617 CROWN POINT ROAD, STE 4, JACKSONVILLE, FL, 32257, US |
| Address: | 1524 COUNTY ROAD 220, STE 5, FLEMING ISLAND, FL, 32003, US |
| ZIP code: | 32003 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245482710 | 2008-10-16 | 2009-12-14 | 1524 COUNTY ROAD 220 STE 5, FLEMING ISLAND, FL, 320034913, US | 1524 COUNTY ROAD 220 STE 5, FLEMING ISLAND, FL, 320034913, US | |||||||||||||||||||
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| Phone | +1 904-637-2000 |
| Fax | 9046372001 |
Authorized person
| Name | DR. JEFFREY SCOTT BLALOCK |
| Role | OPTOMETRIST |
| Phone | 9046372000 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 3085 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRINK THEODORE | Agent | 3617 CROWN POINT ROAD, JACKSONVILLE, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| BRINK THEODORE O | President | 3617 CROWN POINT ROAD, JACKSONVILLE, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| BLALOCK JEFFREY O | Vice President | 3617 CROWN POINT ROAD, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-07 | 1524 COUNTY ROAD 220, STE 5, FLEMING ISLAND, FL 32003 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-07 | 1524 COUNTY ROAD 220, STE 5, FLEMING ISLAND, FL 32003 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-07 | BRINK, THEODORE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-07 | 3617 CROWN POINT ROAD, STE 4, JACKSONVILLE, FL 32257 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-04-17 |
| ANNUAL REPORT | 2019-02-07 |
| AMENDED ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
