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N.T. ANDERSON, O.D., P.A.

Company Details

Entity Name: N.T. ANDERSON, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Jan 2009 (16 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 04 Dec 2009 (15 years ago)
Document Number: P09000003116
FEI/EIN Number 264030759
Address: 790 119TH AVE, TREASURE ISLAND, FL, 33706, US
Mail Address: 790 119TH AVE, TREASURE ISLAND, FL, 33706, US
ZIP code: 33706
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073848776 2009-10-14 2013-01-30 1269 S MISSOURI AVE, CLEARWATER, FL, 337564174, US 1269 S MISSOURI AVE, CLEARWATER, FL, 337564174, US

Contacts

Phone +1 727-623-9000

Authorized person

Name DR. NICHOLAS ANDERSON
Role PRESIDENT
Phone 7276239000

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OPC 4291
State FL
Is Primary Yes

Agent

Name Role Address
ANDERSON NICHOLAS Agent 790 119TH AVE, TREASURE ISLAND, FL, 33706

President

Name Role Address
ANDERSON NICHOLAS President 790 119TH AVE, TREASURE ISLAND, FL, 33706

Director

Name Role Address
ANDERSON NICHOLAS Director 790 119TH AVE, TREASURE ISLAND, FL, 33706

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-08 790 119TH AVE, TREASURE ISLAND, FL 33706 No data
CHANGE OF MAILING ADDRESS 2020-06-08 790 119TH AVE, TREASURE ISLAND, FL 33706 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-08 790 119TH AVE, TREASURE ISLAND, FL 33706 No data
NAME CHANGE AMENDMENT 2009-12-04 N.T. ANDERSON, O.D., P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-12
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-02-08
ANNUAL REPORT 2015-03-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State