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SOUTH SHORE OPHTHALMOLOGY, P.C.

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Company Details

Name: SOUTH SHORE OPHTHALMOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Apr 1988 (37 years ago)
Entity Number: 1256000
ZIP code: 11557
County: Nassau
Place of Formation: New York
Address: MARK MELAMED MD, 1175 W BROADWAY STE 25, HEWLETT, NY, United States, 11557
Principal Address: 1175 W BROADWAY, STE 25, HEWLETT, NY, United States, 11557

Contact Details

Phone +1 516-374-1122

Phone +1 516-877-2400

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent MARK MELAMED MD, 1175 W BROADWAY STE 25, HEWLETT, NY, United States, 11557

Chief Executive Officer

Name Role Address
MARK MELAMED MD Chief Executive Officer 1175 W BROADWAY, STE 25, HEWLETT, NY, United States, 11557

National Provider Identifier

NPI Number:
1225164072

Authorized Person:

Name:
WILLIAM HARRY BOOCKVAR
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5163741025

Form 5500 Series

Employer Identification Number (EIN):
112907134
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

History

Start date End date Type Value
2010-05-28 2012-05-21 Address 1175 W BROADWAY, STE 25, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2008-04-09 2010-05-28 Address MARK MELAMED MD, 1175 W BROADWAY STE 25, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2004-04-19 2008-04-09 Address MARK A MELAMED MD FACS, 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Chief Executive Officer)
2004-04-19 2008-04-09 Address MARK A MELAMED MD FACS, 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Principal Executive Office)
2004-04-19 2008-04-09 Address MARK A MELAMED MD FACS, 1200 WEST BROADWAY, HEWLETT, NY, 11557, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180405006252 2018-04-05 BIENNIAL STATEMENT 2018-04-01
140423006277 2014-04-23 BIENNIAL STATEMENT 2014-04-01
120521002042 2012-05-21 BIENNIAL STATEMENT 2012-04-01
100528002852 2010-05-28 BIENNIAL STATEMENT 2010-04-01
080409002131 2008-04-09 BIENNIAL STATEMENT 2008-04-01

USAspending Awards / Financial Assistance

Date:
2020-06-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2016-01-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
-250000.00
Total Face Value Of Loan:
0.00
Date:
2016-01-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
250000.00
Total Face Value Of Loan:
250000.00

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State