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COMMUNITY EYE CARE SPECIALISTS, P.C.

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Company Details

Name: COMMUNITY EYE CARE SPECIALISTS, P.C.
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Jun 2002 (23 years ago)
Entity Number: 2774279
ZIP code: 16365
County: Chautauqua
Place of Formation: Pennsylvania
Principal Address: 462 FAIRMOUNT AVE, JAMESTOWN, NY, United States, 14701
Address: 2 FARM COLONY DRIVE, WARREN, PA, United States, 16365

Contact Details

Phone +1 800-845-8424

Phone +1 716-373-0444

Phone +1 814-677-6404

DOS Process Agent

Name Role Address
COMMUNITY EYE CARE SPECIALISTS, P.C. DOS Process Agent 2 FARM COLONY DRIVE, WARREN, PA, United States, 16365

Chief Executive Officer

Name Role Address
GORDON WUEBBOLT, MD Chief Executive Officer 462 FAIRMOUNT AVE, JAMESTOWN, NY, United States, 14701

National Provider Identifier

NPI Number:
1659187177
Certification Date:
2024-12-09

Authorized Person:

Name:
CANDICE B DAVIS
Role:
CHIEF REVENUE CYCLE OFFICER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
232934062
Plan Year:
2023
Number Of Participants:
46
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
52
Sponsors Telephone Number:

History

Start date End date Type Value
2024-04-08 2024-04-08 Address 462 FAIRMOUNT AVE, JAMESTOWN, NY, 14701, USA (Type of address: Chief Executive Officer)
2012-07-26 2024-04-08 Address 2 FARM COLONY DRIVE, WARREN, PA, 16365, USA (Type of address: Service of Process)
2004-08-05 2024-04-08 Address 462 FAIRMOUNT AVE, JAMESTOWN, NY, 14701, USA (Type of address: Chief Executive Officer)
2002-06-04 2012-07-26 Address 3744 STATE ROUTE 257, SENECA, PA, 16346, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240408003572 2024-04-08 BIENNIAL STATEMENT 2024-04-08
140611006482 2014-06-11 BIENNIAL STATEMENT 2014-06-01
120726002027 2012-07-26 BIENNIAL STATEMENT 2012-06-01
080620002764 2008-06-20 BIENNIAL STATEMENT 2008-06-01
060524003512 2006-05-24 BIENNIAL STATEMENT 2006-06-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State