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INSIGHT OPTICAL

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Company Details

Name: INSIGHT OPTICAL
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 22 Jul 1998 (27 years ago)
Entity Number: 64541
Place of Formation: IDAHO
File Number: 0000064541
ZIP code: 83605
County: Canyon County
Mailing Address: 420 E ELM ST CALDWELL, ID 83605

National Provider Identifier

NPI Number:
1588830665

Authorized Person:

Name:
DR. WILLIAM T BLACK
Role:
GENERAL PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2084592034

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0000676190 1998-12-14
Initial Filing 0000064541 1998-07-22

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State