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EAGLE EYE SURGERY AND LASER CENTER, LLC

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Company Details

Name: EAGLE EYE SURGERY AND LASER CENTER, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 22 Jul 2011 (14 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 324576
Place of Formation: TENNESSEE
File Number: 324576
Principal Address: 1A BURTON HILLS BLVD NASHVILLE, TN 37215
Mailing Address: SUITE 300 1A BURTON HILLS BLVD NASHVILLE, TN 37215-6187

Manager

Name Role Address Appointed On
Laura Gregg Manager 3090 E GENTRY WAY, MERIDIAN, ID 83642 2021-06-03

Member

Name Role Address Appointed On
Brandon Roberto Member 1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187 2024-07-22
Mark Boerner MD Member 1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187 2024-07-22
Phil Swanger Member 1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187 2024-07-22
Adam Reynolds MD Member 1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187 2024-07-22

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

National Provider Identifier

NPI Number:
1235255605
Certification Date:
2022-09-21

Authorized Person:

Name:
MR. JEFFREY SNODGRASS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6152341720
Fax:
2082884299

Filing

Filing Name Filing Number Filing date
Annual Report 0005825681 2024-07-22
Annual Report 0005271528 2023-06-07
Annual Report 0004772195 2022-06-06
Registered Agent Name/Address Change (mass change) 0004639420 2022-03-08
Registered Agent Name/Address Change (mass change) 0004465013 2021-10-29

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State