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ASSOCIATED WESTSIDE OPTOMETRIC CLINIC, P.A.

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Company Details

Name: ASSOCIATED WESTSIDE OPTOMETRIC CLINIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 18 Aug 1980 (45 years ago)
Financial Date End: 31 Aug 2008
Date dissolved: 06 Nov 2008
Entity Number: 204780
Place of Formation: IDAHO
File Number: 0000204780
ZIP code: 83404
County: Bonneville County
Mailing Address: 2105 CORONADO IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1154493708

Authorized Person:

Name:
DR. DOUGLAS JAMES HILBORN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0001738572 2007-06-11
Annual Report 0001738571 2006-08-29
Annual Report 0001738558 2005-06-16
Annual Report 0001738557 2004-06-16
Annual Report 0001738546 2003-06-20

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State