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TWIN FORKS OPTOMETRY PLLC

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Company Details

Name: TWIN FORKS OPTOMETRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 May 2015 (10 years ago)
Entity Number: 4765985
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 662 MAIN STREET, PORT JEFFERSON, NY, United States, 11777

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 662 MAIN STREET, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1699155549

Authorized Person:

Name:
DR. JESSICA FULMER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152WC0802X - Corneal and Contact Management Optometrist
Is Primary:
No
Selected Taxonomy:
152WP0200X - Pediatric Optometrist
Is Primary:
No
Selected Taxonomy:
152WV0400X - Vision Therapy Optometrist
Is Primary:
No
Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
6317409385

Form 5500 Series

Employer Identification Number (EIN):
474137824
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
150529000041 2015-05-29 ARTICLES OF ORGANIZATION 2015-05-29

USAspending Awards / Financial Assistance

Date:
2021-02-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
32245.00
Total Face Value Of Loan:
32245.00
Date:
2020-06-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
36807.00
Total Face Value Of Loan:
36807.00

Trademarks Section

Serial Number:
90104257
Mark:
VISION IS MORE THAN 20/20
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2020-08-10
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
VISION IS MORE THAN 20/20

Goods And Services

For:
Education services, namely, providing educational podcasts, courses, workshops, tutorial sessions in the field of vision and vision therapy
First Use:
2019-11-19
International Classes:
041 - Primary Class
Class Status:
Active

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
36807
Current Approval Amount:
36807
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
36932.71
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
32245
Current Approval Amount:
32245
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
32404.02

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State