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Artisan Pediatric Eyecare, LLC

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Company Details

Name: Artisan Pediatric Eyecare, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Jan 2019 (7 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 3400866
Place of Formation: IDAHO
File Number: 651023
ZIP code: 83704
County: Ada County
Principal Address: SUITE 110 7960 W RIFLEMAN STREET BOISE, ID 83704
Mailing Address: 152 N AL FRESCO PL BOISE, ID 83712-7599

Agent

Name Role Address
Jeffrey C Johnson Agent 152 N AL FRESCO PL, BOISE, ID 83712

Manager

Name Role Address Appointed On
Jeffrey C Johnson Manager 152 N AL FRESCO PL, BOISE, ID 83712-7599 2021-02-04

National Provider Identifier

NPI Number:
1487128823

Authorized Person:

Name:
JEFFREY C JOHNSON
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
152WS0006X - Sports Vision Optometrist
Is Primary:
No
Selected Taxonomy:
152WV0400X - Vision Therapy Optometrist
Is Primary:
No
Selected Taxonomy:
152WX0102X - Occupational Vision Optometrist
Is Primary:
No
Selected Taxonomy:
152WP0200X - Pediatric Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005999171 2024-12-03
Annual Report 0005496352 2023-12-04
Annual Report 0005007986 2022-12-03
Annual Report 0004511725 2021-12-03
Annual Report 0004162448 2021-02-04

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
41837.00
Total Face Value Of Loan:
41837.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$41,837
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$41,837
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$42,379.16
Servicing Lender:
Capital Educators FCU
Use of Proceeds:
Payroll: $31,378.5
Rent: $10,458.5

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State