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PURE EYECARE OPTOMETRY, P.C.

Company Details

Name: PURE EYECARE OPTOMETRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Sep 2019 (6 years ago)
Entity Number: 5616602
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 105-37 65TH AVE, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 917-476-7757

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 105-37 65TH AVE, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1285278606

Authorized Person:

Name:
DR. ROMAN KAKZANOV
Role:
DOCTOR OF OPTOMETRY
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190906000291 2019-09-06 CERTIFICATE OF INCORPORATION 2019-09-06

Date of last update: 23 Mar 2025

Sources: New York Secretary of State