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RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC

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Company Details

Name: RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Feb 2014 (11 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 409637
Place of Formation: IDAHO
File Number: 409637
ZIP code: 83713
County: Ada County
Principal Address: 13923 W WAINWRIGHT DR STE 301 BOISE, ID 83713
Mailing Address: STE 301 13923 W WAINWRIGHT DR BOISE, ID 83713-2075

Agent

Name Role Address
DENTON ROBERTS MD Agent 13923 W WAINWRIGHT DR STE 301, SUITE 301, BOISE, ID 83713

Manager

Name Role Address Appointed On Resigned On
Denton Roberts Manager 13923 W WAINWRIGHT DR STE 301, STE 301, BOISE, ID 83713 2021-02-03 No data
James Earl Manager 13923 W WAINWRIGHT DR STE 301, STE 301, BOISE, ID 83713 2024-01-04 2024-01-04

National Provider Identifier

NPI Number:
1922425032

Authorized Person:

Name:
DENTON R. ROBERTS
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207WX0107X - Retina Specialist (Ophthalmology) Physician
Is Primary:
Yes

Contacts:

Fax:
2089385764

Form 5500 Series

Employer Identification Number (EIN):
300811574
Plan Year:
2023
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
27
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006051462 2025-01-06
Annual Report 0005541495 2024-01-04
Annual Report 0005092136 2023-02-03
Annual Report 0004556572 2022-01-06
Annual Report 0004153789 2021-02-03

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State