RETINA INSTITUTE OF WASHINGTON PLLC

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Company Details

Legal Name:	RETINA INSTITUTE OF WASHINGTON PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	November 20th 2009
Date of Dissolution:	March 2nd 2015
Expiration date:	30 Nov 2014
UBI Number:	602 972 371
ZIP code:	98055
City:	Renton
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	4300 TALBOT RD S STE 201, RENTON, WA, 98055, UNITED STATES

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Registered Agent Information

Name	Role	Address
JACKIE MYUNG	Registered Agent	411 84TH AVE NE, MEDINA, WA, 98039-5344, UNITED STATES

Key Officers & Management

Name	Role	Address
JACKIE MYUNG	Governing Person	411 84TH AVE NE, MEDINA, WA, 98039, UNITED STATES
GEORGE KO MD	Governing Person	411 84TH AVE NE, MEDINA, WA, 98039, UNITED STATES

National Provider Identifier

NPI Number:

1578892196

Link:

View on NPI website

Authorized Person:

Name:

GEORGE J. KO

Role:

MANAGING DIRECTOR

Phone:

4252286262

Taxonomy:

Selected Taxonomy:

207W00000X - Ophthalmology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 425-228-6262

Fax:

4252286260

Phone:

+1 206-892-8281

Form 5500 Series

Employer Identification Number (EIN):

461427591

Plan Year:

2015

Number Of Participants:

7

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2158406012

File:

Plan Year:

2015

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

2158406012

File:

Plan Year:

2014

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

2158406012

File:

Plan Year:

2014

Number Of Participants:

2

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2158406012

File:

Plan Year:

2013

Number Of Participants:

2

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2158406012

File:

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