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HATTIESBURG EYE CLINIC, P.A.

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Company Details

Name: HATTIESBURG EYE CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Apr 1974 (51 years ago)
Business ID: 410332
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 100 W HOSPITAL DRIVEHATTIESBURG, MS 39402

Agent

Name Role Address
Robert T. Jackson Jr Agent 309 South 40th Avenue, Hattiesburg, MS 39402

Incorporator

Name Role Address
Stoney Williamson Incorporator 2601 Mamie St, Hattiesburg, MS 39401

Director

Name Role Address
C. David Richardson Director 100 W. Hospital Drive, Hattiesburg, MS 39402
Todd Williamson Director 100 W. Hospital Drive, Hattiesburg, MS 39402
Adam Quinn Director 100 W Hospital Dr, Hattiesburg, MS 39402
Ben Pace Director 100 W Hospital Dr, Hattiesburg, MS 39402

President

Name Role Address
C. David Richardson President 100 W. Hospital Drive, Hattiesburg, MS 39402

Secretary

Name Role Address
Todd Williamson Secretary 100 W. Hospital Drive, Hattiesburg, MS 39402

Treasurer

Name Role Address
Todd Williamson Treasurer 100 W. Hospital Drive, Hattiesburg, MS 39402

Vice President

Name Role Address
Todd Williamson Vice President 100 W. Hospital Drive, Hattiesburg, MS 39402
Ben Pace Vice President 100 W Hospital Dr, Hattiesburg, MS 39402
Adam Quinn Vice President 100 W Hospital Dr, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1538369996

Authorized Person:

Name:
EDDIE SMITH
Role:
ADMINISTRATIVE ASSISTANT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
6012640659

Form 5500 Series

Employer Identification Number (EIN):
640547736
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
101
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
52
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
84
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
48
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-09 Annual Report For HATTIESBURG EYE CLINIC, P.A.
Annual Report Filed 2024-02-21 Annual Report For HATTIESBURG EYE CLINIC, P.A.
Annual Report Filed 2023-02-20 Annual Report For HATTIESBURG EYE CLINIC, P.A.
Annual Report Filed 2022-02-10 Annual Report For HATTIESBURG EYE CLINIC, P.A.
Annual Report Filed 2021-02-23 Annual Report For HATTIESBURG EYE CLINIC, P.A.
Amendment Form Filed 2020-02-03 Amendment For HATTIESBURG EYE CLINIC, P.A.
Annual Report Filed 2020-02-03 Annual Report For HATTIESBURG EYE CLINIC, P.A.
Annual Report Filed 2019-03-28 Annual Report For HATTIESBURG EYE CLINIC, P.A.
Annual Report Filed 2018-04-02 Annual Report For HATTIESBURG EYE CLINIC, P.A.
Annual Report Filed 2017-04-07 Annual Report For HATTIESBURG EYE CLINIC, P.A.

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Date of last update: 18 Apr 2025

Sources: Mississippi Secretary of State