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Eye Pros Coeur d'Alene LLC

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Company Details

Name: Eye Pros Coeur d'Alene LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Apr 2025 (4 months ago)
Financial Date End: 30 Apr 2026
Entity Number: 6187934
Place of Formation: IDAHO
File Number: 986902
ZIP code: 83815
County: Kootenai County
Principal Address: 7307 N CULTURE COEUR D'ALENE, ID 83815
Mailing Address: 3485 N COLE RD # 45479 BOISE, ID 83711-1095

Agent

Name Role Address
LaVar Kofoed Agent 1293 W APPLECREEK CT, EAGLE, ID 83616-1942

National Provider Identifier

NPI Number:
1760279681
Certification Date:
2025-04-23

Authorized Person:

Name:
MRS. LAUREL GEORGE
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006187934 2025-04-03

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Date of last update: 28 Jul 2025

Sources: Idaho Secretary of State