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Deep Blue Retina, PLLC

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Company Details

Name: Deep Blue Retina, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 27 Mar 2019 (6 years ago)
Business ID: 1173554
State of Incorporation: MISSISSIPPI
Principal Office Address: 7900 AIRWAYS BLVD BLDG A1SOUTHAVEN, MS 386714116

Agent

Name Role Address
Jorge I. Calzada MD Agent 7900 Airways Blvd., Building A, Suite 1, Southaven, MS 38671

Organizer

Name Role Address
John S Seabold Organizer 700 Colonial Road, Suite 200, Memphis, TN 38117

Manager

Name Role Address
Jorge I. Calzada Manager 7900 Airways Blvd Bldg A1, Southaven, MS 38671

Member

Name Role Address
Jorge I. Calzada Member 7900 Airways Blvd Bldg A1, Southaven, MS 38671

President

Name Role Address
Jorge I. Calzada President 7900 Airways Blvd Bldg A1, Southaven, MS 38671

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
T8DWTG41UY86
UEI Expiration Date:
2026-04-08

Business Information

Division Name:
MILE HIGH EYE INSTITUTE
Activation Date:
2025-04-10
Initial Registration Date:
2025-04-08

National Provider Identifier

NPI Number:
1427511880
Certification Date:
2023-09-07

Authorized Person:

Name:
JORGE I CALZADA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207WX0107X - Retina Specialist (Ophthalmology) Physician
Is Primary:
Yes

Contacts:

Fax:
9015226521

Form 5500 Series

Employer Identification Number (EIN):
834162499
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-26 Annual Report For Deep Blue Retina, PLLC
Annual Report LLC Filed 2024-04-01 Annual Report For Deep Blue Retina, PLLC
Annual Report LLC Filed 2023-01-18 Annual Report For Deep Blue Retina, PLLC
Annual Report LLC Filed 2022-04-11 Annual Report For Deep Blue Retina, PLLC
Annual Report LLC Filed 2021-02-05 Annual Report For Deep Blue Retina, PLLC
Annual Report LLC Filed 2020-05-07 Annual Report For Deep Blue Retina, PLLC
Correction Amendment Form Filed 2019-03-28 Correction For Deep Blue Retina, PLLC
Formation Form Filed 2019-03-27 Formation For Deep Blue Retina, PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
143600.00
Total Face Value Of Loan:
143600.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
143600
Current Approval Amount:
143600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
144513.46

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Date of last update: 21 May 2025

Sources: Company Profile on Mississippi Secretary of State Website