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EYE CARE SPECIALISTS OF VANCOUVER, PC

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Company Details

Legal Name: EYE CARE SPECIALISTS OF VANCOUVER, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: January 24th 2012
Date of Dissolution: December 7th 2016
Expiration date: 31 Jan 2017
UBI Number: 603 175 189
ZIP code: 98664
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 505 NE 87TH AVE STE 100, VANCOUVER, WA, 98664, UNITED STATES

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Registered Agent Information

Name Role Address
HORENSTEIN LAW GROUP PLLC Registered Agent 500 BROADWAY ST STE 120, VANCOUVER, WA, 98660-3322, UNITED STATES

Key Officers & Management

Name Role Address
JAY CHAPMAN Governing Person 505 NE 87TH AVE STE 100, VANCOUVER, WA, 98664, UNITED STATES
RICHARD BERNHEIMER Governing Person 505 NE 87TH AVE STE 100, VANCOUVER, WA, 98664, UNITED STATES
ADAM RASKY Governing Person 505 NE 87TH AVE STE 100, VANCOUVER, WA, 98664, UNITED STATES
PAUL KEOWN Governing Person 505 NE 87TH AVE STE 100, VANCOUVER, WA, 98664, UNITED STATES

National Provider Identifier

NPI Number:
1700158110

Authorized Person:

Name:
DR. RICHARD A BERNHEIMER JR.
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
3608593173

Form 5500 Series

Employer Identification Number (EIN):
454378689
Plan Year:
2014
Number Of Participants:
17
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
MAUREEN KIRKPATRICK(Plan administrator)
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