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Inland Pediatric Ophthalmology and Strabismus P.L.L.C.

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Company Details

Name: Inland Pediatric Ophthalmology and Strabismus P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Aug 2019 (6 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 3593888
Place of Formation: IDAHO
File Number: 676761
ZIP code: 83814
County: Kootenai County
Principal Address: STE A 2175 N MAIN ST COEUR D ALENE, ID 83814-5768
Mailing Address: STE A PMB 277 2600 E SELTICE WAY POST FALLS, ID 83854-7991

Manager

Name Role Address Appointed On Resigned On
Sonya T. Blizzard Manager 7349 W OTTER BAY ROAD, COEUR D'ALENE, ID 83814 2024-08-26 No data
Sonya T Blizzard Manager 2600 E SELTICE #277, POST FALLS, ID 83854 2020-07-04 2022-08-03

Agent

Name Role Address
Sonya Blizzard Agent 7349 WEST OTTER BAY ROAD, COEUR D ALENE, ID 83814

National Provider Identifier

NPI Number:
1104472349
Certification Date:
2020-02-10

Authorized Person:

Name:
SONYA THOMAS BLIZZARD
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207WX0110X - Pediatric Ophthalmology and Strabismus Specialist Physician Physician
Is Primary:
Yes

Contacts:

Fax:
2086660816

Filing

Filing Name Filing Number Filing date
Annual Report 0005870753 2024-08-26
Application for Reinstatement 0005477472 2023-11-13
Dissolution/Revocation - Administrative 0005473586 2023-11-09
Annual Report 0004842624 2022-08-03
Annual Report 0004367939 2021-08-03

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Date of last update: 13 Jun 2025

Sources: Idaho Secretary of State