| Entity Name: | ST. CLOUD EYE CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 May 2010 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Jun 2010 (15 years ago) |
| Document Number: | P10000040107 |
| FEI/EIN Number | 272303692 |
| Address: | 2050 OLD HICKORY TREE RD, SUITE I, ST. CLOUD, FL, 34772 |
| Mail Address: | 2050 OLD HICKORY TREE RD, SUITE I, ST. CLOUD, FL, 34772 |
| ZIP code: | 34772 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093035032 | 2010-06-01 | 2010-06-01 | 2050 OLD HICKORY TREE RD, SUITE I, SAINT CLOUD, FL, 347728926, US | 2050 OLD HICKORY TREE RD, SUITE I, SAINT CLOUD, FL, 347728926, US | |||||||||||||||||||||||
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| Phone | +1 407-556-3969 |
Authorized person
| Name | DR. COLLEEN BUI |
| Role | PRESIDENT |
| Phone | 4075563969 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC4211 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 621268900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUI COLLEEN | Agent | 2050 OLD HICKORY TREE RD, ST. CLOUD, FL, 34772 |
| Name | Role | Address |
|---|---|---|
| BUI COLLEEN | President | 9552 Bennington Chase Drive, ORLANDO, FL, 32829 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2010-06-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-06-23 | BUI, COLLEEN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-06-23 | 2050 OLD HICKORY TREE RD, SUITE I, ST. CLOUD, FL 34772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-04-13 |
| ANNUAL REPORT | 2018-05-25 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
