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IDAHO EYE PROS-IDAHO FALLS LLC

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Company Details

Name: IDAHO EYE PROS-IDAHO FALLS LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Feb 2013 (12 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 374798
Place of Formation: IDAHO
File Number: 374798
ZIP code: 83704
County: Ada County
Principal Address: 6128 FAIRVIEW AVE BOISE, ID 83704
Mailing Address: 2990 S 25TH E IDAHO FALLS, ID 83404-6515

Agent

Name Role Address
LAVAR KOFOED Agent 2990 S 25TH EAST, IDAHO FALLS, ID 83404

Member

Name Role Address Appointed On Resigned On
LWK PC Member 3485 N COLE RD, #45479, BOISE, ID 83711 2021-02-01 No data
Kreyton D Jackson Optometry PLLC Member 2990 S 25TH E, IDAHO FALLS, ID 83404-6515 2024-02-23 2024-02-23
Kendall C Willden OD PLLC Member 2990 S 25TH E, IDAHO FALLS, ID 83404-6515 2024-02-23 2024-02-23

Manager

Name Role Address Appointed On Resigned On
Matthew Soderling Manager 3485 N COLE RD # 45479, BOISE, ID 83711 2024-02-23 2024-02-23

National Provider Identifier

NPI Number:
1528494465
Certification Date:
2021-03-26

Authorized Person:

Name:
LAUREL GEORGE
Role:
ACCOUNT MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2082977518
Fax:
2085220861

Filing

Filing Name Filing Number Filing date
Annual Report 0006139776 2025-03-03
Annual Report 0005611528 2024-02-23
Annual Report 0005152427 2023-03-10
Annual Report 0004625961 2022-02-28
Annual Report 0004149754 2021-02-01

USAspending Awards / Financial Assistance

Date:
2021-02-15
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:
23791.00
Total Face Value Of Loan:
23791.00
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:
23300.00
Total Face Value Of Loan:
23300.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$23,791
Date Approved:
2021-02-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,791
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$23,925.92
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $23,791
Jobs Reported:
4
Initial Approval Amount:
$23,300
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$23,478.1
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $23,300

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Date of last update: 20 Jul 2025

Sources: Idaho Secretary of State