Entity Name: | EYECARE PROFESSIONALS OF ORLANDO, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 29 Aug 1995 (29 years ago) |
Last Event: | NAME CHANGE AMENDMENT |
Event Date Filed: | 28 Sep 1995 (29 years ago) |
Document Number: | P95000067389 |
FEI/EIN Number | 593333596 |
Address: | 1218 Northern Way, Winter Springs, FL, 32708, US |
Mail Address: | 1218 Northern Way, Winter Springs, FL, 32708, US |
ZIP code: | 32708 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669595856 | 2007-04-10 | 2011-11-02 | 429 E MICHIGAN ST STE A, ORLANDO, FL, 328064523, US | 429 E MICHIGAN ST STE A, ORLANDO, FL, 328064523, US | |||||||||||||||||||||
|
Phone | +1 407-843-3533 |
Fax | 4078415520 |
Authorized person
Name | DR. MARIE T TARTIBI |
Role | OPTOMETRIST |
Phone | 4078433533 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 620124500 |
State | FL |
Name | Role | Address |
---|---|---|
TARTIBI MARIA TDr. | Agent | 1218 Northern Way, Winter Springs, FL, 32708 |
Name | Role | Address |
---|---|---|
Tartibi Marie TDr. | Director | 1218 Northern Way, Winter Springs, FL, 32708 |
Name | Role | Address |
---|---|---|
Tartibi Marie T | Mr | 1218 Northern Way, Winter Springs, FL, 32708 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 1218 Northern Way, Winter Springs, FL 32708 | No data |
CHANGE OF MAILING ADDRESS | 2022-02-01 | 1218 Northern Way, Winter Springs, FL 32708 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 1218 Northern Way, Winter Springs, FL 32708 | No data |
REGISTERED AGENT NAME CHANGED | 2013-01-28 | TARTIBI, MARIA T, Dr. | No data |
NAME CHANGE AMENDMENT | 1995-09-28 | EYECARE PROFESSIONALS OF ORLANDO, INC. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-19 |
ANNUAL REPORT | 2023-01-19 |
ANNUAL REPORT | 2022-02-01 |
ANNUAL REPORT | 2021-02-09 |
ANNUAL REPORT | 2020-02-19 |
ANNUAL REPORT | 2019-02-08 |
ANNUAL REPORT | 2018-01-17 |
ANNUAL REPORT | 2017-02-07 |
ANNUAL REPORT | 2016-03-16 |
ANNUAL REPORT | 2015-02-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State