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Eyecare Specialties of Idaho, P.C.

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Company Details

Name: Eyecare Specialties of Idaho, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 21 Apr 2025 (5 months ago)
Financial Date End: 30 Apr 2026
Entity Number: 6207387
Place of Formation: IDAHO
File Number: 988644
Mailing Address: STE 850 4835 LYNDON B JOHNSON FWY DALLAS, TX 75244-6054

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

National Provider Identifier

NPI Number:
1417848037
Certification Date:
2025-07-11

Authorized Person:

Name:
MRS. MELISSA ALLISON
Role:
SR. DIRECTOR MANAGED VISION CARE
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006280127 2025-05-27
Initial Filing 0006207387 2025-04-21

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Date of last update: 24 Aug 2025

Sources: Idaho Secretary of State