Search icon

OPTOMETRIC PHYSICIAN SERVICES, LLC

Company Details

Entity Name: OPTOMETRIC PHYSICIAN SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Jun 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P20000047572
FEI/EIN Number 85-1697007
Address: 6495 N DAVIS HWY, PENSACOLA, FL, 32504
Mail Address: 4060 Arbutus Dr, Pensacola, FL, 32504, US
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366069692 2020-07-02 2020-07-02 6495 N DAVIS HWY, PENSACOLA, FL, 325046954, US 6495 N DAVIS HWY, PENSACOLA, FL, 325046954, US

Contacts

Phone +1 850-475-1434

Authorized person

Name DR. DAVID L EAST
Role OWNER
Phone 8502917184

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
EAST DAVID L Agent 6495 N DAVIS HWY, PENSACOLA, FL, 32504

President

Name Role Address
EAST DAVID L President 6495 N DAVIS HWY, PENSACOLA, FL, 32504

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF MAILING ADDRESS 2021-02-01 6495 N DAVIS HWY, PENSACOLA, FL 32504 No data

Documents

Name Date
ANNUAL REPORT 2021-02-01
Domestic Profit 2020-06-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State