Entity Name: | CLARITY VISION CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 29 Oct 2014 (10 years ago) |
Last Event: | AMENDMENT AND NAME CHANGE |
Event Date Filed: | 06 Nov 2018 (6 years ago) |
Document Number: | P14000088955 |
FEI/EIN Number | 47-2261768 |
Address: | 1425 Lund Avenue, Kissimmee, FL 34744 |
Mail Address: | 1425 Lund Avenue, Kissimmee, FL 34744 |
ZIP code: | 34744 |
County: | Osceola |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619443397 | 2018-10-19 | 2020-03-13 | 7792 DEERCREEK CT, DAVIE, FL, 333283826, US | 1900 S UNIVERSITY DR, MIRAMAR, FL, 330252230, US | |||||||||||||||||||||||||||||
|
Phone | +1 804-205-4363 |
Phone | +1 954-431-3060 |
Fax | 9544314002 |
Authorized person
Name | DR. MATTHEW RODRIGUEZ |
Role | OPTOMETRIST/VISION CARE PROVIDER |
Phone | 8042054363 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI TYPE 1 |
Number | 1700286044 |
State | FL |
Issuer | MEDICAID |
Number | 014429800 |
State | FL |
Name | Role | Address |
---|---|---|
RODRIGUEZ, MATTHEW | Agent | 1425 Lund Avenue, Kissimmee, FL 34744 |
Name | Role | Address |
---|---|---|
Rodriguez, Matthew | President | 1425 Lund Ave, Kissimmee, FL 34744 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-04-19 | 1425 Lund Avenue, Kissimmee, FL 34744 | No data |
CHANGE OF MAILING ADDRESS | 2022-04-19 | 1425 Lund Avenue, Kissimmee, FL 34744 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-04-19 | 1425 Lund Avenue, Kissimmee, FL 34744 | No data |
AMENDMENT AND NAME CHANGE | 2018-11-06 | CLARITY VISION CENTER, INC. | No data |
REGISTERED AGENT NAME CHANGED | 2018-11-06 | RODRIGUEZ, MATTHEW | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-05 |
ANNUAL REPORT | 2023-04-19 |
ANNUAL REPORT | 2022-04-19 |
ANNUAL REPORT | 2021-04-08 |
ANNUAL REPORT | 2020-06-29 |
ANNUAL REPORT | 2019-04-30 |
Amendment and Name Change | 2018-11-06 |
ANNUAL REPORT | 2018-04-27 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-04-27 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State