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Eagle Vision One, PLLC

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Company Details

Name: Eagle Vision One, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Aug 2021 (4 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 4364924
Place of Formation: IDAHO
File Number: 775549
ZIP code: 83616
County: Ada County
Principal Address: SHAWN SORENSON 355 S. EAGLE ROAD EAGLE, ID 83616
Mailing Address: SHAWN SORENSON 355 S EAGLE RD EAGLE, ID 83616-5912

Agent

Name Role Address
Shawn Sorenson Agent 355 S EAGLE ROAD, EAGLE, ID 83616

Manager

Name Role Address Appointed On Resigned On
Shawn Sorenson Manager 355 S. EAGLE ROAD, EAGLE, ID 83616 2021-10-20 No data
Aaron Warner Manager 355 S. EAGLE ROAD, EAGLE, ID 83616 2023-07-21 2024-07-11

Member

Name Role Address Appointed On Resigned On
Hans Bjorn Member 355 S EAGLE RD, EAGLE, ID 83616 2024-07-11 No data
Craig Moss Member 355 S EAGLE RD, EAGLE, ID 83616 2023-07-21 2024-07-11

National Provider Identifier

NPI Number:
1699845503
Certification Date:
2023-06-15

Authorized Person:

Name:
AARON J. WARNER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2089395755

Form 5500 Series

Employer Identification Number (EIN):
820533342
Plan Year:
2024
Number Of Participants:
60
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
50
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
32
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006360199 2025-07-16
Annual Report 0005817814 2024-07-11
Annual Report 0005329150 2023-07-21
Annual Report 0004888108 2022-09-07
Amendment to Certificate 0004453176 2021-10-20

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Date of last update: 23 Jul 2025

Sources: Idaho Secretary of State