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RETINA SPECIALISTS OF IDAHO PLLC

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Company Details

Name: RETINA SPECIALISTS OF IDAHO PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Feb 2008 (17 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 225685
Place of Formation: IDAHO
File Number: 225685
ZIP code: 83713
County: Ada County
Principal Address: 13923 W WAINWRIGHT SUITE 301 BOISE, ID 83713
Mailing Address: STE 301 13923 W WAINWRIGHT DR BOISE, ID 83713-2075

Agent

Name Role Address
DENTON R ROBERTS Agent 13923 W. WAINWRIGHT DR., SUITE 301, BOISE, ID 83713

Manager

Name Role Address Appointed On
Denton Roberts Manager 13923 W WAINWRIGHT DR STE 301, STE 301, BOISE, ID 83713 2021-02-03

National Provider Identifier

NPI Number:
1366607996

Authorized Person:

Name:
DENTON R. ROBERTS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2089385764

Form 5500 Series

Employer Identification Number (EIN):
300811574
Plan Year:
2019
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
16
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006051461 2025-01-06
Annual Report 0005541499 2024-01-04
Annual Report 0005092158 2023-02-03
Annual Report 0004556564 2022-01-06
Annual Report 0004153827 2021-02-03

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
20800.00
Total Face Value Of Loan:
20800.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
20800
Current Approval Amount:
20800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
21090.63

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Date of last update: 29 May 2025

Sources: Idaho Secretary of State