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NISSIRIOS OPHTHALMOLOGY P.C.

NISSIRIOS OPHTHALMOLOGY P.C.

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Company Details

Name:	NISSIRIOS OPHTHALMOLOGY P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	18 Sep 2014 (11 years ago)
Entity Number:	4638504
ZIP code:	11361
County:	New York
Place of Formation:	New York
Address:	20020 44th avenue, SUITE 1, bayside, NY, United States, 11361
Principal Address:	23-09 31ST STREET, SUITE 1, ASTORIA, NY, United States, 11105

Contact Details

Phone +1 718-278-2020

Phone +1 917-460-7065

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
NISSIRIOS OPHTHALMOLOGY P.C.	DOS Process Agent	20020 44th avenue, SUITE 1, bayside, NY, United States, 11361

Chief Executive Officer

Name	Role	Address
NISSIRIOS NICHOLAS	Chief Executive Officer	20020 44TH AVENUE, 2ND FLOOR, BAYSIDE, NY, United States, 11361

National Provider Identifier

NPI Number:

1346642352

Certification Date:

2024-02-27

Link:

View on NPI website

Authorized Person:

Name:

DR. NICHOLAS J NISSIRIOS

Role:

OPHTHALMOLOGIST

Phone:

2018931386

Taxonomy:

Selected Taxonomy:

207W00000X - Ophthalmology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-423-2020

Fax:

7185047379

Form 5500 Series

Employer Identification Number (EIN):

471878015

Plan Year:

2023

Number Of Participants:

8

Sponsors Telephone Number:

7182782020

File:

Plan Year:

2023

Number Of Participants:

10

Sponsors Telephone Number:

7182782020

File:

Plan Year:

2022

Number Of Participants:

9

Sponsors Telephone Number:

7182782020

File:

Plan Year:

2022

Number Of Participants:

7

Sponsors Telephone Number:

7182782020

File:

Plan Year:

2021

Number Of Participants:

9

Sponsors Telephone Number:

7182782020

File:

History

Start date	End date	Type	Value
2024-02-13	2024-02-13	Address	23-09 31ST STREET, SUITE 1, ASTORIA, NY, 11105, USA (Type of address: Chief Executive Officer)
2024-02-13	2024-02-13	Address	20020 44TH AVENUE, 2ND FLOOR, BAYSIDE, NY, 11361, USA (Type of address: Chief Executive Officer)
2020-12-14	2024-02-13	Address	23-09 31ST STREET, SUITE 1, ASTORIA, NY, 11105, USA (Type of address: Service of Process)
2020-12-14	2024-02-13	Address	23-09 31ST STREET, SUITE 1, ASTORIA, NY, 11105, USA (Type of address: Chief Executive Officer)
2020-12-14	2020-12-14	Address	23-09 31ST STREET, SUITE 1, ASTORIA, NY, 11105, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
240213003876	2024-02-13	BIENNIAL STATEMENT	2024-02-13
201214060322	2020-12-14	BIENNIAL STATEMENT	2020-09-01
201214061089	2020-12-14	BIENNIAL STATEMENT	2020-09-01
140918000375	2014-09-18	CERTIFICATE OF INCORPORATION	2014-09-18

Paycheck Protection Program

Jobs Reported:

9

Initial Approval Amount:

$120,000

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$120,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$111,719.83

Servicing Lender:

Signature Bank

Use of Proceeds:

Payroll: $111,000
Refinance EIDL: $9,000

Jobs Reported:

11

Initial Approval Amount:

$113,697

Date Approved:

2021-01-21

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$113,697

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$114,158.02

Servicing Lender:

Signature Bank

Use of Proceeds:

Payroll: $113,693
Utilities: $1

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State