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RG Vision LLC

RG Vision LLC

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Company Details

Name:	RG Vision LLC
Jurisdiction:	Idaho
Legal type:	Limited Liability Company (D)
Status:	Active-Existing
Date of registration:	30 Jun 2021 (4 years ago)
Financial Date End:	30 Jun 2025
Date dissolved:	21 Sep 2024
Entity Number:	4328147
Place of Formation:	IDAHO
File Number:	770674
ZIP code:	83642
County:	Ada County
Principal Address:	REINSTATE RG VISION LLC 1521 W BLUE DOWNS ST MERIDIAN, ID 83642-8496

Member

Name	Role	Address	Appointed On
Russell Gray	Member	3149 S JUPITER AVE, BOISE, ID 83709	2022-05-03

Agent

Name	Role	Address
Russell Gray	Agent	1521 W BLUE DOWNS ST, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:

1881363760

Certification Date:

2024-12-12

Link:

View on NPI website

Authorized Person:

Name:

RUSSELL LAMAR GRAY

Role:

OPTOMETRIST

Phone:

2088712936

Taxonomy:

Selected Taxonomy:

152W00000X - Optometrist

Is Primary:

Yes

Contacts:

Phone:

+1 208-871-2936

Fax:

2082318595

Filing

Filing Name	Filing Number	Filing date
Application for Reinstatement	0006049562	2025-01-06
Dissolution/Revocation - Administrative	0005906457	2024-09-21
Application for Reinstatement	0005560538	2024-01-12
Dissolution/Revocation - Administrative	0005393673	2023-09-09
Annual Report	0004726470	2022-05-03

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State