| Entity Name: | VAL-U-VISION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Feb 1998 (27 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Dec 2020 (4 years ago) |
| Document Number: | P98000014310 |
| FEI/EIN Number | 59-3501669 |
| Mail Address: | 12132 SPRINGMOOR NINE CT, JACKSONVILLE, FL 32225 |
| Address: | 9400 ATLANTIC BLVD, STE 62, JACKSONVILLE, FL 32225 |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821016569 | 2006-07-18 | 2015-02-25 | 9400 ATLANTIC BLVD, SUITE 62, JACKSONVILLE, FL, 322258255, US | 9400 ATLANTIC BLVD, SUITE 62, JACKSONVILLE, FL, 322258255, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 904-721-7700 |
| Fax | 9047210051 |
Authorized person
| Name | ALAN I RAUCHWARGER |
| Role | CEO/OWNER |
| Phone | 9047217700 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620552600 |
| State | FL |
| Issuer | BCBS |
| Number | 45648 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIAN, DAVID T. | Agent | 12132 SPRINGMOOR NINE CT, JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| SIAN, DAVID T. | Treasurer | 9400 ATLANTIC BLVD, STE 62 JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| SIAN, DAVID T. | Secretary | 9400 ATLANTIC BLVD, STE 62 JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| SIAN, DAVID T. | Director | 9400 ATLANTIC BLVD, STE 62 JACKSONVILLE, FL 32225 |
| SIAN, HIRFA R. | Director | 9400 ATLANTIC BLVD, STE 62 JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| DELCAMPO, O.D., MARY-ELIZA V. | President | 9400 ATLANTIC BLVD, STE 62 JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| DELCAMPO, O.D., MARY-ELIZA V. | Chairman | 9400 ATLANTIC BLVD, STE 62 JACKSONVILLE, FL 32225 |
| Name | Role | Address |
|---|---|---|
| SIAN, DAVID T. | Vice President | 9400 ATLANTIC BLVD, STE 62 JACKSONVILLE, FL 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-12-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-21 | 9400 ATLANTIC BLVD, STE 62, JACKSONVILLE, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2020-12-21 | 9400 ATLANTIC BLVD, STE 62, JACKSONVILLE, FL 32225 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-12-21 | SIAN, DAVID T. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-12-21 | 12132 SPRINGMOOR NINE CT, JACKSONVILLE, FL 32225 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-18 |
| Amendment | 2020-12-21 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
