Entity Name: | DRS. PERRY, PERRY & ASSOCIATES, ORLANDO, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 12 Sep 1990 (34 years ago) |
Document Number: | S03311 |
FEI/EIN Number | 593029734 |
Address: | 400 N Bumby Ave, ORLANDO, FL, 32803, US |
Mail Address: | 9024 GREAT HERON CIR., ORLANDO, FL, 32836 |
ZIP code: | 32803 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962540799 | 2007-02-02 | 2009-05-15 | PO BOX 140932, ORLANDO, FL, 328140932, US | 2752 E COLONIAL DR, ORLANDO, FL, 328035025, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 407-893-6222 |
Fax | 4078964200 |
Authorized person
Name | DR. MARK E. PERRY |
Role | PRESIDENT |
Phone | 4078936222 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
License Number | 2097 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 152W00000X - Optometrist |
License Number | 2275 |
State | FL |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 078759100 |
State | FL |
Name | Role | Address |
---|---|---|
PERRY MARK | Agent | 9024 GREAT HERON CIR, ORLANDO, FL, 32836 |
Name | Role | Address |
---|---|---|
Perry Mark E | Director | 9024 GREAT HERON CIR., ORLANDO, FL, 32836 |
Perry Karen F | Director | 9024 GREAT HERON CIR., ORLANDO, FL, 32836 |
Name | Role | Address |
---|---|---|
Perry Mark E | President | 9024 GREAT HERON CIR., ORLANDO, FL, 32836 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G13000014136 | VISION HEALTH INSTITUTE | ACTIVE | 2013-02-10 | 2028-12-31 | No data | 9024 GREAT HERON CIR, ORLANDO, FL, 32836 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State