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Bonneville Vision, PLLC

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Company Details

Name: Bonneville Vision, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 May 2019 (6 years ago)
Financial Date End: 31 May 2026
Entity Number: 3518338
Place of Formation: IDAHO
File Number: 666908
ZIP code: 83401
County: Bonneville County
Principal Address: 838 S WOODRUFF AVE IDAHO FALLS, ID 83401
Mailing Address: 838 S WOODRUFF AVE IDAHO FALLS, ID 83401-5296

Agent

Name Role Address
Nathan L Housley Agent 902 E 81 N, IDAHO FALLS, ID 83401

Manager

Name Role Address Appointed On
Nathan L Housley Manager 902 E 81 N, IDAHO FALLS, ID 83401 2020-08-05

National Provider Identifier

NPI Number:
1093367971

Authorized Person:

Name:
DR. NATHAN HOUSLEY
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006221860 2025-04-26
Annual Report 0005737426 2024-05-14
Annual Report 0005181740 2023-04-04
Annual Report 0004706027 2022-04-19
Annual Report 0004281075 2021-05-12

USAspending Awards / Financial Assistance

Date:
2020-04-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-08
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:
22000.00
Total Face Value Of Loan:
22000.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$22,000
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$22,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$22,162.14
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $22,000

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State