Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Miami-Dade
    4. ›
  4. 33176
    5. ›
  5. CUKIERMAN & KOEPNICK EYECARE INC.

CUKIERMAN & KOEPNICK EYECARE INC.

Company Details

Entity Name: CUKIERMAN & KOEPNICK EYECARE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Apr 1998 (27 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 26 Apr 1999 (26 years ago)
Document Number: P98000029808
FEI/EIN Number 650829654
Address: 11654 NORTH KENDALL DRIVE, MIAMI, FL, 33176
Mail Address: 11654 NORTH KENDALL DRIVE, MIAMI, FL, 33176
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295035640 2010-11-01 2010-11-01 11654 N KENDALL DR, MIAMI, FL, 331761005, US 11654 N KENDALL DR, MIAMI, FL, 331761005, US

Contacts
Phone +1 305-271-1364
Fax 3055964237

Authorized person
Name DR. LANCE MITCHELL KOEPNICK
Role OWNER
Phone 3052711364

Taxonomy
Taxonomy Code 152W00000X - Optometrist
License Number OPC2066
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 620625500
State FL
Issuer GROUP MEDICARE IDENTIFICATION NUMBER
Number K2655
Issuer DR. KOEPNICK'S MEDICARE NUMBER
Number 20582Z

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUKIERMAN & KOEPNICK EYECARE INC. 401(K) PLAN 2023 650829654 2024-05-29 CUKIERMAN & KOEPNICK EYECARE INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2024-05-29
Name of individual signing LANCE KOEPNICK
Valid signature Filed with authorized/valid electronic signature
CUKIERMAN & KOEPNICK EYECARE INC. 401(K) PLAN 2022 650829654 2023-05-31 CUKIERMAN & KOEPNICK EYECARE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2023-05-31
Name of individual signing LANCE KOEPNICK
Valid signature Filed with authorized/valid electronic signature
CUKIERMAN & KOEPNICK EYECARE INC 401(K) PLAN 2021 650829654 2022-05-23 CUKIERMAN & KOEPNICK EYECARE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing LANCE KOEPNICK
Valid signature Filed with authorized/valid electronic signature
CUKIERMAN & KOEPNICK EYECARE INC 401(K) PLAN 2020 650829654 2021-06-02 CUKIERMAN & KOEPNICK EYECARE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2021-06-02
Name of individual signing LANCE KOEPNICK
Valid signature Filed with authorized/valid electronic signature
CUKIERMAN & KOEPNICK EYECARE INC 401(K) PLAN 2019 650829654 2020-06-30 CUKIERMAN & KOEPNICK EYECARE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing LANCE KOEPNICK
Valid signature Filed with authorized/valid electronic signature
CUKIERMAN & KOEPNICK EYECARE INC 401(K) PLAN 2019 650829654 2020-06-16 CUKIERMAN & KOEPNICK EYECARE INC 7
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing LKOEPNICK1577
Valid signature Filed with authorized/valid electronic signature
CUKIERMAN & KOEPNICK EYECARE INC 401(K) PLAN 2018 650829654 2019-05-24 CUKIERMAN & KOEPNICK EYECARE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing LANCE KOEPNICK
Valid signature Filed with authorized/valid electronic signature
CUKIERMAN & KOEPNICK EYECARE INC 401(K) PLAN 2017 650829654 2018-06-06 CUKIERMAN & KOEPNICK EYECARE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing LANCE KOEPNICK
Valid signature Filed with authorized/valid electronic signature
CUKIERMAN & KOEPNICK EYECARE INC 401(K) PLAN 2016 650829654 2017-06-19 CUKIERMAN & KOEPNICK EYECARE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621320
Sponsor’s telephone number 3052711364
Plan sponsor’s address 11654 NORTH KENDALL DR, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing LANCE KOEPNICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KOEPNICK LANCE MDr. Agent 1240 NE 24th Street, Wilton Manors, FL, 33305

President

Name Role Address
KOEPNICK LANCE MDr. President 1240 NE 24th Street, Wilton Manors, FL, 33305

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2017-02-12 1240 NE 24th Street, 3407, Wilton Manors, FL 33305 No data
REGISTERED AGENT NAME CHANGED 2013-01-28 KOEPNICK, LANCE M, Dr. No data
AMENDMENT AND NAME CHANGE 1999-04-26 CUKIERMAN & KOEPNICK EYECARE INC. No data
CHANGE OF PRINCIPAL ADDRESS 1999-04-26 11654 NORTH KENDALL DRIVE, MIAMI, FL 33176 No data
CHANGE OF MAILING ADDRESS 1999-04-26 11654 NORTH KENDALL DRIVE, MIAMI, FL 33176 No data

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-02-12
AMENDED ANNUAL REPORT 2016-04-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5395347401 2020-05-12 0455 PPP 11654 N. Kendall Drive, MIAMI, FL, 33176-1005
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 44900
Loan Approval Amount (current) 46306
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33176-1005
Project Congressional District FL-27
Number of Employees 7
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 46617.28
Forgiveness Paid Date 2021-01-12

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated