| Entity Name: | EYE SITE VISION CENTER III, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Sep 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P08000083545 |
| FEI/EIN Number | 263336124 |
| Address: | 9874 YAMATO ROAD, BAY 120, BOCA RATON, FL, 33434, US |
| Mail Address: | 2490 NORTH FEDERAL HIGHWAY, LIGHTHOUSE POINT, FL, 33064, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285936849 | 2010-12-02 | 2012-02-17 | 9874 YAMATO RD, SUITE 120, BOCA RATON, FL, 334345552, US | 9874 YAMATO RD, SUITE 120, BOCA RATON, FL, 334345552, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-479-1411 |
| Fax | 5614794267 |
Authorized person
| Name | DR. GARY E GOBERVILLE |
| Role | PRES/OPTOMETRIST |
| Phone | 5614791411 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC2575 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 152WP0200X - Pediatric Optometrist |
| License Number | OPC2575 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 152WS0006X - Sports Vision Optometrist |
| License Number | OPC2575 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 152WV0400X - Vision Therapy Optometrist |
| License Number | OPC2575 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GOBERVILLE GARY | Agent | 2490 NORTH FEDERAL HIGHWAY, LIGHTHOUSE POINT, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| GOBERVILLE GARY | President | 2490 NORTH FEDERAL HIGHWAY, LIGHTHOUSE POINT, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| GOBERVILLE GARY | Vice President | 2490 NORTH FEDERAL HIGHWAY, LIGHTHOUSE POINT, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| GOBERVILLE GARY | Director | 2490 NORTH FEDERAL HIGHWAY, LIGHTHOUSE POINT, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| AMENDMENT | 2017-10-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-03-29 | GOBERVILLE, GARY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-08 | 9874 YAMATO ROAD, BAY 120, BOCA RATON, FL 33434 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-08 | 9874 YAMATO ROAD, BAY 120, BOCA RATON, FL 33434 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-19 | 2490 NORTH FEDERAL HIGHWAY, LIGHTHOUSE POINT, FL 33064 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-07 |
| Amendment | 2017-10-23 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-04-03 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-03-29 |
| ANNUAL REPORT | 2011-02-04 |
| ANNUAL REPORT | 2010-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
