| Entity Name: | GREG PIENTKA, O.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
GREG PIENTKA, O.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Apr 1998 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Oct 2016 (9 years ago) |
| Document Number: | P98000037026 |
| FEI/EIN Number |
650825869
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 7741 Pine Tree Lane, West Palm Beach, FL, 33406, US |
| Address: | 640 W BOYNTON BEACH BLVD., BOYNTON BCH, FL, 33426-3637, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508178450 | 2010-07-08 | 2013-03-21 | 640 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 334263637, US | 640 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 334263637, US | |||||||||||||||||||||||||
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| Phone | +1 561-732-8088 |
| Fax | 5617328112 |
Authorized person
| Name | DR. GREG PIENTKA |
| Role | CORPORATE PRESIDENT |
| Phone | 5617328088 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC 3038 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 620319100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PIENTKA GREG | President | 7741 Pine Tree Lane, West Palm Beach, FL, 33406 |
| Pientka Kathleen M | Director | 7741 Pine Tree Ln, West Palm Beach, FL, 33406 |
| PIENTKA GREG | Agent | 7741 Pine Tree Lane, West Palm Beach, FL, 33406 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000024203 | PALM BEACH EYES OF BOYNTON BEACH | EXPIRED | 2017-03-07 | 2022-12-31 | - | 640 W BOYNTON BEACH BLVD., BOYNTON BEACH, FL, 33426 |
| G16000022705 | PALM BEACH EYES VISION SOURCE | EXPIRED | 2016-03-02 | 2021-12-31 | - | 640 W BOYNTON BEACH BLVD., BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2016-10-19 | - | - |
| CHANGE OF MAILING ADDRESS | 2016-10-19 | 640 W BOYNTON BEACH BLVD., BOYNTON BCH, FL 33426-3637 | - |
| REGISTERED AGENT NAME CHANGED | 2016-10-19 | PIENTKA, GREG | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-19 | 7741 Pine Tree Lane, West Palm Beach, FL 33406 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-10-26 | 640 W BOYNTON BEACH BLVD., BOYNTON BCH, FL 33426-3637 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-03-10 |
| REINSTATEMENT | 2016-10-19 |
| ANNUAL REPORT | 2015-03-11 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5374547305 | 2020-04-30 | 0455 | PPP | 640 W Boynton Beach Blvd, BOYNTON BEACH, FL, 33426-3637 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
