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OPTICLUB EXPRESS, INC.

Company Details

Entity Name: OPTICLUB EXPRESS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jul 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Oct 2020 (4 years ago)
Document Number: P16000057610
FEI/EIN Number 81-3489256
Address: 4954 HIGHWAY 90, PACE, FL, 32571, US
Mail Address: 4954 HIGHWAY 90, PACE, FL, 32571, US
ZIP code: 32571
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801381819 2018-06-22 2019-12-28 4954 HIGHWAY 90, PACE, FL, 325711413, US 4954 HIGHWAY 90, PACE, FL, 325711413, US

Contacts

Phone +1 850-910-4840
Fax 8502542970

Authorized person

Name DR. ANDREW DAVID BURTCHELL
Role PRESIDENT/DIRECTOR
Phone 8509104840

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
Harrison Krista Agent 6048 Sequoia Drive, Pace, FL, 32571

Secretary

Name Role Address
HARRISON KRISTA Secretary 4954 HIGHWAY 90, PACE, FL, 32571

Treasurer

Name Role Address
HARRISON KRISTA Treasurer 4954 HIGHWAY 90, PACE, FL, 32571

President

Name Role Address
Tegenkamp Jeffrey President 4954 HIGHWAY 90, PACE, FL, 32571

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-02-06 Harrison, Krista No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-06 6048 Sequoia Drive, Pace, FL 32571 No data
REINSTATEMENT 2020-10-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
AMENDMENT 2018-06-18 No data No data
AMENDMENT 2018-06-11 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-05-30 4954 HIGHWAY 90, PACE, FL 32571 No data
CHANGE OF MAILING ADDRESS 2018-05-30 4954 HIGHWAY 90, PACE, FL 32571 No data
AMENDMENT 2016-08-15 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-01-06
ANNUAL REPORT 2022-05-26
AMENDED ANNUAL REPORT 2021-11-02
AMENDED ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2021-02-06
REINSTATEMENT 2020-10-30
ANNUAL REPORT 2019-04-25
Amendment 2018-06-18
Amendment 2018-06-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State