VITREORETINAL ASSOCIATES, PLLC

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Company Details

Legal Name:	VITREORETINAL ASSOCIATES, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	December 14th 2005
Date of Dissolution:	May 3rd 2025
Expiration date:	31 Dec 2024
UBI Number:	602 567 448
ZIP code:	98004
City:	Bellevue
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	1750 112TH AVE NE, SUITE D050, BELLEVUE, WA, 98004-3779, UNITED STATES
Principal Office Mailing Address:	22232 17TH AVE SE, STE 308, BOTHELL, WA, 98021-7425, UNITED STATES

Contact Details

E-Mail:	Y.PETROV@PNWRETINA.COM
Phone Number:	+1 425-296-3837

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
VITREORETINAL ASSOCIATES	Registered Agent	1750 112TH AVE NE STE D050, BELLEVUE, WA, 98004-3779, UNITED STATES

Key Officers & Management

Name	Role
ROBERT NASH	Governing Person
ROBERT FRANCIS	Governing Person
CHARLES BIRNBACH	Governing Person

National Provider Identifier

NPI Number:

1134178460

Link:

View on NPI website

Authorized Person:

Name:

DR. CRAIG G WELLS

Role:

OWNER

Phone:

2062153850

Taxonomy:

Selected Taxonomy:

207W00000X - Ophthalmology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 206-215-3850

Fax:

2062153870

Form 5500 Series

Employer Identification Number (EIN):

860964389

Plan Year:

2012

Number Of Participants:

51

Sponsor's telephone number:

2063434850

File:

Plan Administrator / Signatory:

CRAIG WELLS(Plan administrator)

Plan Year:

2012

Number Of Participants:

2

Sponsor's telephone number:

2063434850

File:

Plan Administrator / Signatory:

CRAIG WELLS(Plan administrator)

Plan Year:

2011

Number Of Participants:

55

Sponsor's telephone number:

2063434850

File:

Plan Administrator / Signatory:

CRAIG WELLS(Plan administrator)

Plan Year:

2011

Number Of Participants:

46

Sponsor's telephone number:

2063434850

File:

Plan Administrator / Signatory:

CRAIG WELLS(Plan administrator)

Plan Year:

2011

Number Of Participants:

45

Sponsor's telephone number:

2063434850

File:

Plan Administrator / Signatory:

CRAIG WELLS(Plan administrator)

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