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  5. WEST COAST MOBILE EYE CARE, INC.

WEST COAST MOBILE EYE CARE, INC.

Company Details

Entity Name: WEST COAST MOBILE EYE CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Jun 1999 (26 years ago)
Last Event: AMENDMENT
Event Date Filed: 06 Dec 2024 (2 months ago)
Document Number: P99000059423
FEI/EIN Number 650937214
Address: 445 Apollo Beach Blvd., Apollo Beach, FL, 33572, US
Mail Address: P.O. BOX 39, RUSKIN, FL, 33575, US
ZIP code: 33572
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205908530 2006-11-14 2008-07-16 PO BOX 39, RUSKIN, FL, 335750039, US 25D COLLEGE AVE W, RUSKIN, FL, 335704529, US

Contacts
Phone +1 813-886-2020
Fax 8138867222

Authorized person
Name DR. LUCIE NGAR
Role OPTOMETRIST
Phone 8138862020

Taxonomy
Taxonomy Code 152W00000X - Optometrist
License Number 2711
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 620473200
State FL
Issuer DMERC
Number 1205908530
State FL
Issuer RAILROAD MEDICARE
Number CG1143
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST COAST MOBILE EYE CARE 401K PLAN 2023 650937214 2024-05-27 WEST COAST MOBILE EYE CARE, INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 445 APOLLO BEACH BLVD, APOLLO BEACH, FL, 33572

Signature of
Role Plan administrator
Date 2024-05-27
Name of individual signing SHAWN ABBOTT
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2022 650937214 2023-06-06 WEST COAST MOBILE EYE CARE, INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 445 APOLLO BEACH BLVD, APOLLO BEACH, FL, 33572

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing ELBA TORRES
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2021 650937214 2022-06-10 WEST COAST MOBILE EYE CARE, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 445 APOLLO BEACH BLVD, APOLLO BEACH, FL, 33572

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing ELBA TORRES
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2020 650937214 2021-06-23 WEST COAST MOBILE EYE CARE, INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 445 APOLLO BEACH BLVD, APOLLO BEACH, FL, 33572

Signature of
Role Plan administrator
Date 2021-06-23
Name of individual signing LUCIE LUU
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2019 650937214 2020-10-06 WEST COAST MOBILE EYE CARE, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 445 APOLLO BEACH BLVD, APOLLO BEACH, FL, 33572

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing SHAWN ABBOTT
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2018 650937214 2019-06-05 WEST COAST MOBILE EYE CARE, INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 25 W COLLEGE AVE, SUITE D, RUSKIN, FL, 33570

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing SHAWN ABBOTT
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2017 650937214 2018-08-07 WEST COAST MOBILE EYE CARE, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 25 W COLLEGE AVE, SUITE D, RUSKIN, FL, 33570

Signature of
Role Plan administrator
Date 2018-08-07
Name of individual signing LUCIE LUU
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2016 650937214 2017-06-08 WEST COAST MOBILE EYE CARE, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 25 COLLEGE AVE W SUITE D, RUSKIN, FL, 33570

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing SHAWN ABBOTT
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2015 650937214 2016-07-15 WEST COAST MOBILE EYE CARE, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 25 COLLEGE AVE W SUITE D, RUSKIN, FL, 33570

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing SHAWN ABBOTT
Valid signature Filed with authorized/valid electronic signature
WEST COAST MOBILE EYE CARE 401K PLAN 2014 650937214 2015-09-16 WEST COAST MOBILE EYE CARE, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-01
Business code 621320
Sponsor’s telephone number 8138862020
Plan sponsor’s address 25 COLLEGE AVE W SUITE D, RUSKIN, FL, 33570

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing LUCIE LUU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LUU LUCIE N Agent 445 Apollo Beach Blvd., Apollo Beach, FL, 33572

Chief Executive Officer

Name Role Address
LUU LUCIE N Chief Executive Officer 445 Apollo Beach Blvd., Apollo Beach, FL, 33572

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-12-06 LUU, LUCIE N No data
AMENDMENT 2024-12-06 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-03-08 445 Apollo Beach Blvd., Apollo Beach, FL 33572 No data
CHANGE OF MAILING ADDRESS 2022-03-08 445 Apollo Beach Blvd., Apollo Beach, FL 33572 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-31 445 Apollo Beach Blvd., Apollo Beach, FL 33572 No data

Documents

Name Date
Amendment 2024-12-06
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-04

Related by officers

LUU LUCIE N

THE LUU PROPERTIES, LLC

Related by address

445 Apollo Beach Blvd., Apollo Beach, FL, 33572, US

ADVANCED SURGICAL MOBILE EYE CARE LLC ANYTIME OPTICAL LLC THE LUU PROPERTIES, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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