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INTERMOUNTAIN EYE AND LASER CENTERS, P.L.L.C.

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Company Details

Name: INTERMOUNTAIN EYE AND LASER CENTERS, P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Jun 1995 (30 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 8345
Place of Formation: IDAHO
File Number: 8345
ZIP code: 83706
County: Ada County
Principal Address: 999 N CURTIS RD STE 205 BOISE, ID 83706
Mailing Address: STE 205 999 N CURTIS RD BOISE, ID 83706-1316

Agent

Name Role Address
Brent S Betts Agent 999 N CURTIS, STE 205, BOISE, ID 83706

Manager

Name Role Address Appointed On Resigned On
James P Tweeten Manager 999 N. CURTIS STE 205, BOISE, ID 83706 2021-05-05 2024-05-03
Brent Betts Manager 999 N. CURTIS ST STE 205, BOISE, ID 83706 2024-05-03 2024-05-03
ADAM C REYNOLDS Manager 999 N. CURTIS STE 205, BOISE, ID 83706 2024-05-03 2024-05-03
KATHRYN M FETHKE Manager 999 N. CURTIS STE 205, BOISE, ID 83706 2024-05-03 2024-05-03
Jon R Fishburn Manager 999 N. CURTIS STE 205, BOISE, ID 83706 2024-05-03 No data

Member

Name Role Address Appointed On Resigned On
Jeffrey L Stevens MD Member 999 N CURTIS, BOISE, ID 83706 2024-05-03 2024-05-03

Unique Entity ID

CAGE Code:
3ZCT3
UEI Expiration Date:
2018-09-25

Business Information

Division Name:
INTERMOUNTAIN EYE CENTERS
Division Number:
INTERMOUNT
Activation Date:
2017-09-25
Initial Registration Date:
2004-08-09

National Provider Identifier

NPI Number:
1194401505
Certification Date:
2023-06-22

Authorized Person:

Name:
BRENT S BETTS
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
No
Selected Taxonomy:
207WX0009X - Glaucoma Specialist (Ophthalmology) Physician
Is Primary:
No
Selected Taxonomy:
207WX0107X - Retina Specialist (Ophthalmology) Physician
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006241706 2025-05-06
Annual Report 0005718120 2024-05-03
Annual Report 0005220113 2023-05-03
Annual Report 0004739550 2022-05-09
Annual Report 0004273578 2021-05-05

USAspending Awards / Contracts

Procurement Instrument Identifier:
HHSP233201200040A
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
4300.00
Base And Exercised Options Value:
4300.00
Base And All Options Value:
4300.00
Awarding Agency Name:
Department of Health and Human Services
Performance Start Date:
2012-01-24
Description:
EXPERT CONSULTANT SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

Paycheck Protection Program

Jobs Reported:
90
Initial Approval Amount:
$821,400
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$925,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$935,667.82
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $925,500
Jobs Reported:
90
Initial Approval Amount:
$921,100
Date Approved:
2021-03-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$921,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$927,459.38
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $921,097
Utilities: $1

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Date of last update: 13 Jul 2025

Sources: Idaho Secretary of State