| Entity Name: | THE EYE DEPOT, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Feb 1991 (34 years ago) |
| Document Number: | S32836 |
| FEI/EIN Number | 650244218 |
| Address: | 426 MANATEE AVE W., BRADENTON, FL, 34205, US |
| Mail Address: | 426 MANATEE AVE W., BRADENTON, FL, 34205, US |
| ZIP code: | 34205 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275638637 | 2006-09-13 | 2021-05-26 | 426 MANATEE AVE W, BRADENTON, FL, 342058845, US | 426 MANATEE AVE W, BRADENTON, FL, 342058845, US | |||||||||||||||||||||
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| Phone | +1 941-708-9000 |
| Fax | 9417467365 |
Authorized person
| Name | WILLIAM HOWARD MCSWAIN |
| Role | OWNER |
| Phone | 9417089000 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 265105000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE EYE DEPOT, P.A. 401(K) | 2023 | 650244218 | 2024-07-15 | THE EYE DEPOT, P.A | 22 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-15 |
| Name of individual signing | WILLIAM H. MCSWAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9417089000 |
| Plan sponsor’s address | 426 MANATEE AVE W, BRADENTON, FL, 34205 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-31 |
| Name of individual signing | WILLIAM H. MCSWAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9417089000 |
| Plan sponsor’s address | 426 MANATEE AVE W, BRADENTON, FL, 34205 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-22 |
| Name of individual signing | WILLIAM H. MCSWAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MCSWAIN, M.D. WILLIAM H | Agent | 426 MANATEE AVE W., BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| MCSWAIN, M.D. WILLIAM H | President | 426 MANATEE AVE W., BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| MCSWAIN, M.D. WILLIAM H | Vice President | 426 MANATEE AVE W., BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| MCSWAIN, M.D. WILLIAM H | Treasurer | 426 MANATEE AVE W., BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| MCSWAIN, M.D. WILLIAM H | Secretary | 426 MANATEE AVE W., BRADENTON, FL, 34205 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G06242900105 | THE EYE DEPOT | ACTIVE | 2006-08-30 | 2026-12-31 | No data | 426 MANATEE AVE. W., BRADENTON, FL, 34205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT AND NAME CHANGE | 2021-01-19 | THE EYE DEPOT, P.A. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
