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DANIEL L. TILLER, P.A.

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Company Details

Name: DANIEL L. TILLER, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jan 1991 (35 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 291848
Place of Formation: IDAHO
File Number: 291848
ZIP code: 83651
County: Canyon County
Mailing Address: RODNEY WHITE 901 12TH AVE S NAMPA, ID 83651-4658

Agent

Name Role Address
RODNEY L WHITE Agent 901-12TH AVE S, NAMPA, ID 83651

Vice President

Name Role Address Appointed On
Jacob Watson Vice President 901 12TH AVE S, NAMPA, ID 83651-4658 2020-12-31

National Provider Identifier

NPI Number:
1861485989

Authorized Person:

Name:
DR. RODNEY L WHITE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2084631714

Form 5500 Series

Employer Identification Number (EIN):
820440995
Plan Year:
2024
Number Of Participants:
23
Sponsors DBA Name:
ADVANCED EYE CARE
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005999444 2024-12-03
Annual Report 0005502478 2023-12-06
Annual Report 0005011480 2022-12-05
Annual Report 0004519375 2021-12-06
Annual Report 0004111311 2020-12-31

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$164,900
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$164,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$165,697.24
Servicing Lender:
Bank of Idaho
Use of Proceeds:
Payroll: $164,800

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Date of last update: 04 Aug 2025

Sources: Idaho Secretary of State