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PAUL BIGELOW, O.D., P.C.

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Company Details

Name: PAUL BIGELOW, O.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Dec 2004 (21 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 478947
Place of Formation: IDAHO
File Number: 478947
ZIP code: 83709
County: Ada County
Mailing Address: 2931 S MAYFLOWER WAY BOISE, ID 83709-8567

Agent

Name Role Address
PAUL W BIGELOW Agent 2931 S MAYFLOWER WAY, BOISE, ID 83709

President

Name Role Address Appointed On
Paul Bigelow President 2931 S MAYFLOWER WAY, BOISE, ID 83709 2020-11-10

National Provider Identifier

NPI Number:
1326239534

Authorized Person:

Name:
PAUL BIGELOW
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005970404 2024-11-07
Annual Report 0005460563 2023-11-03
Annual Report 0004974698 2022-11-04
Annual Report 0004478553 2021-11-03
Annual Report 0004065179 2020-11-10

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State