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DR WENDELL R FACKRELL PLLC

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Company Details

Name: DR WENDELL R FACKRELL PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Jul 2011 (14 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 323608
Place of Formation: IDAHO
File Number: 323608
ZIP code: 83642
County: Ada County
Principal Address: 325 S. MERIDIAN RD MERIDIAN, ID 83642
Mailing Address: 17079 N THOMAS PAINE WAY NAMPA, ID 83687-4500

Agent

Name Role Address
WENDELL FACKRELL Agent 325 S. MERIDIAN RD, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
Wendell R. Fackrell Manager 325 S. MERIDIAN RD, MERIDIAN, ID 83642 2021-06-03

National Provider Identifier

NPI Number:
1801171293

Authorized Person:

Name:
WENDELL FACKRELL
Role:
OPTOMETRIST, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006294293 2025-06-03
Statement of Change of Business Mailing Address 0005987878 2024-11-18
Annual Report 0005755573 2024-06-03
Annual Report 0005272223 2023-06-07
Annual Report 0004802742 2022-07-05

USAspending Awards / Financial Assistance

Date:
2021-02-06
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:
12327.00
Total Face Value Of Loan:
12327.00
Date:
2020-04-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
13579.00
Total Face Value Of Loan:
13579.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$13,579
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$13,579
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$13,672.65
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $13,579
Jobs Reported:
1
Initial Approval Amount:
$12,327
Date Approved:
2021-02-06
Loan Status:
Exemption 4
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,327
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $12,326

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State