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IDAHO VISION DEVELOPMENT CENTER PLLC

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Company Details

Name: IDAHO VISION DEVELOPMENT CENTER PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 May 2018 (7 years ago)
Financial Date End: 31 May 2026
Date dissolved: 13 Aug 2024
Entity Number: 610374
Place of Formation: IDAHO
File Number: 610374
ZIP code: 83406
County: Bonneville County
Principal Address: 3341 E CHASEWOOD DR AMMON, ID 83406-4007

Agent

Name Role Address
DANIEL NIELSON Agent 3341 E CHASEWOOD DR., AMMON, ID 83406

Member

Name Role Address Appointed On Resigned On
DANIEL NIELSON Member 1536 MIDWAY AVE, AMMON, ID 83406 2021-04-20 2023-04-03
Daniel Nielson Member 3341 E CHASEWOOD DR, AMMON, ID 83406-4007 2025-05-15 No data

National Provider Identifier

NPI Number:
1952963399

Authorized Person:

Name:
DANIEL NIELSON
Role:
OPTOMETRIST
Phone:

Taxonomy:

Selected Taxonomy:
152WV0400X - Vision Therapy Optometrist
Is Primary:
Yes

Contacts:

Fax:
2082278966

Form 5500 Series

Employer Identification Number (EIN):
830694623
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006257599 2025-05-15
Application for Reinstatement 0005923527 2024-10-03
Dissolution/Revocation - Administrative 0005856863 2024-08-13
Annual Report 0005178625 2023-04-03
Annual Report 0004692718 2022-04-08

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$16,475
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$16,475
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$16,628.77
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $16,475

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State