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JEROME HERNANDEZ, OD, INC. - Florida Company Profile

Company Details

Entity Name: JEROME HERNANDEZ, OD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JEROME HERNANDEZ, OD, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 17 Nov 2009 (15 years ago)
Document Number: P09000094219
FEI/EIN Number 271333007

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 8231 S DIXIE HIGHWAY, MIAMI, FL, 33143, US
Mail Address: 8231 S DIXIE HIGHWAY, MIAMI, FL, 33143, US
ZIP code: 33143
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760789440 2011-02-16 2012-09-14 7400 N KENDALL DR, SUITE 110, MIAMI, FL, 331567706, US 7400 N KENDALL DR, SUITE 110, MIAMI, FL, 331567706, US

Contacts

Phone +1 305-670-6060
Fax 3056700678

Authorized person

Name JEROME HERNANDEZ
Role PRESIDENT
Phone 3056706060

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OPC2362
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 078969100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN 2023 271333007 2024-05-25 JEROME HERNANDEZ OD, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 3056706060
Plan sponsor’s address 8231 S DIXIE HWY, SUITE 110, MIAMI, FL, 33143

Signature of

Role Plan administrator
Date 2024-05-25
Name of individual signing JEROME HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN 2022 271333007 2023-07-10 JEROME HERNANDEZ OD, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 3056706060
Plan sponsor’s address 8231 S DIXIE HWY, SUITE 110, MIAMI, FL, 33143

Signature of

Role Plan administrator
Date 2023-07-10
Name of individual signing JEROME HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN 2021 271333007 2022-09-04 JEROME HERNANDEZ OD, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 3056706060
Plan sponsor’s address 8231 S DIXIE HWY, SUITE 110, MIAMI, FL, 33143

Signature of

Role Plan administrator
Date 2022-09-04
Name of individual signing JEROME HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN 2020 271333007 2021-06-08 JEROME HERNANDEZ OD, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 3056706060
Plan sponsor’s address 8231 S DIXIE HWY, MIAMI, FL, 33143

Signature of

Role Plan administrator
Date 2021-06-08
Name of individual signing JEROME HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN 2019 271333007 2020-07-10 JEROME HERNANDEZ OD, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 3056706060
Plan sponsor’s address 7400 NORTH KENDALL DRIVE, SUITE 110, MIAMI, FL, 33156

Signature of

Role Plan administrator
Date 2020-07-10
Name of individual signing JEROME HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN 2018 271333007 2019-05-20 JEROME HERNANDEZ OD, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 3056706060
Plan sponsor’s address 7400 NORTH KENDALL DRIVE, SUITE 110, MIAMI, FL, 33156

Signature of

Role Plan administrator
Date 2019-05-20
Name of individual signing JEROME HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
JEROME HERNANDEZ OD INC 401 K PROFIT SHARING PLAN TRUST 2017 271333007 2018-10-04 JEROME HERNANDEZ OD INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 3056706060
Plan sponsor’s address 8231 S DIXIE HWY, MIAMI, FL, 33143

Signature of

Role Plan administrator
Date 2018-10-04
Name of individual signing JEROME HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
JEROME HERNANDEZ OD INC 401 K PROFIT SHARING PLAN TRUST 2016 271333007 2017-07-07 JEROME HERNANDEZ OD INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 3056706060
Plan sponsor’s address 8231 S DIXIE HWY, MIAMI, FL, 33143

Signature of

Role Plan administrator
Date 2017-07-07
Name of individual signing JEROME HERNANDEZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HERNANDEZ JEROME President 8231 S DIXIE HIGHWAY, MIAMI, FL, 33143
HERNANDEZ Jerome Agent 8231 S DIXIE HIGHWAY, MIAMI, FL, 33143

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000010252 KENDALL OPTICAL CENTER EXPIRED 2010-02-02 2015-12-31 - 7400 N. KENDALL DR., MIAMI, FL, 33156

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2015-02-20 8231 S DIXIE HIGHWAY, MIAMI, FL 33143 -
REGISTERED AGENT ADDRESS CHANGED 2015-02-20 8231 S DIXIE HIGHWAY, MIAMI, FL 33143 -
CHANGE OF PRINCIPAL ADDRESS 2014-07-30 8231 S DIXIE HIGHWAY, MIAMI, FL 33143 -
REGISTERED AGENT NAME CHANGED 2013-01-24 HERNANDEZ, Jerome -

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-03-15
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-02-23
ANNUAL REPORT 2015-02-20

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4209345009 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES - - TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient JEROME HERNANDEZ OD INC.
Recipient Name Raw JEROME HERNANDEZ OD INC.
Recipient DUNS 116549478
Recipient Address 7400 KENDALL DRIVE #110, MIAMI, MIAMI-DADE, FLORIDA, 33156-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 1237.00
Face Value of Direct Loan 269000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3363058400 2021-02-04 0455 PPS 8231 S Dixie Hwy, Miami, FL, 33143-7717
Loan Status Date 2022-01-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64137
Loan Approval Amount (current) 64137
Undisbursed Amount 0
Franchise Name Vision Source
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Miami, MIAMI-DADE, FL, 33143-7717
Project Congressional District FL-27
Number of Employees 6
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 64662.4
Forgiveness Paid Date 2021-12-16
2467517204 2020-04-16 0455 PPP 8231 S DIXIE HWY, MIAMI, FL, 33143
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64136.45
Loan Approval Amount (current) 64136.45
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33143-1400
Project Congressional District FL-27
Number of Employees 6
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 64874.46
Forgiveness Paid Date 2021-06-22

Date of last update: 03 Apr 2025

Sources: Florida Department of State