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ENUMCLAW FAMILY OPTOMETRY CLINIC, P.S.

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Company Details

Legal Name: ENUMCLAW FAMILY OPTOMETRY CLINIC, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 29th 1994
Expiration date: 30 Jun 2026
UBI Number: 601 555 771
ZIP code: 98022
City: Enumclaw
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2726 GRIFFIN AVE STE B, ENUMCLAW, WA, 98022-2362, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 37904 247TH AVE SE, ENUMCLAW, WA, 98022, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $22,596

Contact Details

E-Mail: EFOC2726@HOTMAIL.COM
Phone Number: +1 360-825-3000

Nature of Business

Professional, Scientific & Technical Services, PROFESSIONAL OPTOMETRIC SERVICES AND MATERIALS

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Registered Agent Information

Name Role Address
ALEXANDER SHEPHERD Registered Agent 2726 GRIFFIN AVE STE B, ENUMCLAW, WA, 98022-2362, UNITED STATES

Key Officers & Management

Name Role Address
ALEXANDER SHEPHERD Governing Person 10910 185TH AVE E, BONNEY LAKE, WA, 98391, UNITED STATES
YUBA SHEPHERD Governing Person 2726 GRIFFIN AVE STE B, ENUMCLAW, WA, 98022, UNITED STATES
PAUL SHEPHERD Governing Person 2726 GRIFFIN AVE STE B, ENUMCLAW, WA, 98022, UNITED STATES
RHYAN SHEPHERD Governing Person -

National Provider Identifier

NPI Number:
1841232121
Certification Date:
2023-08-15

Authorized Person:

Name:
DR. PAUL SHEPHERD
Role:
OWNER PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
3608258408

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$83,357
Date Approved:
2021-02-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$83,357
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$83,930.22
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $83,356
Utilities: $1
Jobs Reported:
10
Initial Approval Amount:
$83,357
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$83,357
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$84,217.98
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $75,457
Utilities: $1,400
Rent: $6,000
Debt Interest: $500
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