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FAMILY EYE CARE OF OROFINO, P.A.

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Company Details

Name: FAMILY EYE CARE OF OROFINO, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 15 Dec 2008 (16 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 547899
Place of Formation: IDAHO
File Number: 547899
ZIP code: 83544
County: Clearwater County
Mailing Address: PO BOX 147 OROFINO, ID 83544-0147

Agent

Name Role Address
RICK G LUNDGREN OD Agent 180 MICHIGAN AVE, OROFINO, ID 83544

President

Name Role Address Appointed On
Rick G Lundgren OD President 180 MICHIGAN AVE., OROFINO, ID 83544 2021-03-05

Vice President

Name Role Address Appointed On Resigned On
Linda Ann Lundgren Vice President 180 MICHIGAN AVE., OROFINO, ID 83544 2023-12-29 2023-12-29

National Provider Identifier

NPI Number:
1629210331

Authorized Person:

Name:
DR. RICK G. LUNDGREN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2084763921

Filing

Filing Name Filing Number Filing date
Annual Report 0006016062 2024-12-06
Annual Report 0005530811 2023-12-29
Annual Report 0005040822 2022-12-29
Annual Report 0004497597 2021-11-15
Annual Report 0004198576 2021-03-05

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State