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CANYON EYECARE PLLC

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Company Details

Name: CANYON EYECARE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Mar 2024 (a year ago)
Financial Date End: 31 Mar 2026
Entity Number: 5638225
Place of Formation: IDAHO
File Number: 925095
ZIP code: 83686
County: Canyon County
Principal Address: STE 260 215 E HAWAII NAMPA, ID 83686
Mailing Address: KENNETH HAINSWORTH STE 260 215 E HAWAII AVE NAMPA, ID 83686-6011

Agent

Name Role Address
KENNETH M. HAINSWORTH Agent 215 E HAWAII, STE 260, NAMPA, ID 83686

Manager

Name Role Address Appointed On
KENNETH M. HAINSWORTH Manager 215 E HAWAII, NAMPA, ID 83686 2025-02-17

National Provider Identifier

NPI Number:
1376302372
Certification Date:
2024-03-13

Authorized Person:

Name:
KENNETH M HAINSWORTH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
991890154
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006110905 2025-02-17
Initial Filing 0005638225 2024-03-06

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Date of last update: 11 Jul 2025

Sources: Idaho Secretary of State