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EYE ASSOCIATES NORTHWEST, PLLC

EYE ASSOCIATES NORTHWEST, PLLC

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Company Details

Legal Name:	EYE ASSOCIATES NORTHWEST, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 3rd 1993
Expiration date:	31 Dec 2025
UBI Number:	601 509 781
ZIP code:	98104
City:	Seattle
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	1101 MADISON ST STE 600, SEATTLE, WA, 98104-3501, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$477,169

Contact Details

E-Mail:

CORPORATE@OMWLAW.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
OMW R.A. SERVICES, LLC	Registered Agent

Key Officers & Management

Name	Role
BRANT F. CARROLL, MD	Governing Person
D. PATRICK KELLY, MD	Governing Person
THEODORE M. ZOLLMAN, MD	Governing Person

National Provider Identifier

NPI Number:

1811952815

Certification Date:

2024-01-04

Link:

View on NPI website

Authorized Person:

Name:

ROSA ANGELICA CAMPOS

Role:

CREDENTIALING MANAGER

Phone:

2062152004

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Selected Taxonomy:

332B00000X - Durable Medical Equipment & Medical Supplies

Is Primary:

Selected Taxonomy:

332H00000X - Eyewear Supplier

Is Primary:

Selected Taxonomy:

207W00000X - Ophthalmology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 206-215-2020

Fax:

2062152022

Form 5500 Series

Employer Identification Number (EIN):

911610832

Plan Year:

2022

Number Of Participants:

Plan Name:

401(K)

Sponsor's telephone number:

2062152026

File:

View File

Plan Administrator / Signatory:

ADAM CHAMBERS(Plan administrator)

History

Type	Old value	New value	Date of change
Name change	EYE ASSOCIATES NORTHWEST, P.C.	EYE ASSOCIATES NORTHWEST, PLLC	2021-11-01

Paycheck Protection Program

Jobs Reported:

119

Initial Approval Amount:

$1,769,800

Date Approved:

2021-01-23

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$1,769,800

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$1,779,206.61

Servicing Lender:

Sound Community Bank

Use of Proceeds:

Payroll: $1,769,796
Utilities: $1

Jobs Reported:

134

Initial Approval Amount:

$1,769,800

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$1,769,800

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$1,781,063.11

Servicing Lender:

Sound Community Bank

Use of Proceeds:

Payroll: $1,769,800

Court Cases

Filing Date:

2018-09-05

Status:

Terminated

Nature Of Judgment:

no monetary award

Jury Demand:

Plaintiff demands jury

Nature Of Suit:

Insurance

Parties:

EYE ASSOCIATES NORTHWEST, PLLC - Plaintiff

SENTINEL INSURANCE COMPANY LIM - Defendant

Labor Condition Applications

Case Number:

I-200-10035-066076

Program:

H-1B

Job Title:

PHYSICIAN

SOC (ONET/OES) code:

29-1069

SOC (ONET/OES) occupation title:

Physicians and Surgeons, All Other

Begin Date:

2012-09-01

End Date:

2015-08-31

Employment and Wage Information

Address:

SEATTLE, WA

Wage Rate Paid to Nonimmigrant Workers:

$200,000

Per:

Year

Prevailing Wage Rate:

$83,990

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EYE ASSOCIATES NORTHWEST, PLLC

Is this your business?

Company Details

Contact Details

Nature of Business

Reviews Leave a review

Registered Agent Information

Key Officers & Management

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Form 5500 Series

History

Paycheck Protection Program

Court Cases

Labor Condition Applications

Employment and Wage Information

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