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Mississippi Retina Associates, PLLC

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Company Details

Name: Mississippi Retina Associates, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 29 Mar 1995 (30 years ago)
Business ID: 616554
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1026 Baptist Circle, 1026 Baptist Circle, Suite 400Madison, MS 39110
Historical names: MISSISSIPPI RETINA ASSOCIATES, P.A.

Agent

Name Role Address
C. T. CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE STE 101, FLOWOOD, MS 39232

Member

Name Role Address
Michael J. Borne Member 1026 Baptist Circle, Suite 400, Madison, MS 39110

National Provider Identifier

NPI Number:
1740357334
Certification Date:
2025-01-23

Authorized Person:

Name:
MICHAEL JUDE BORNE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
No
Selected Taxonomy:
207WX0107X - Retina Specialist (Ophthalmology) Physician
Is Primary:
Yes

Contacts:

Fax:
6019815039

Form 5500 Series

Employer Identification Number (EIN):
640860086
Plan Year:
2023
Number Of Participants:
67
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
63
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
48
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
64
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
56
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-13 Annual Report For Mississippi Retina Associates, PLLC
Annual Report LLC Filed 2024-02-16 Annual Report For Mississippi Retina Associates, PLLC
Amendment Form Filed 2023-05-02 Amendment For Mississippi Retina Associates, PLLC
Annual Report LLC Filed 2023-01-12 Annual Report For Mississippi Retina Associates, PLLC
Annual Report LLC Filed 2022-04-14 Annual Report For Mississippi Retina Associates, PLLC
Business Conversion Filed 2021-12-03 Business Conversion For MISSISSIPPI RETINA ASSOCIATES, P.A.
Amendment Form Filed 2021-08-03 Amendment For MISSISSIPPI RETINA ASSOCIATES, P.A.
Annual Report Filed 2021-02-01 Annual Report For MISSISSIPPI RETINA ASSOCIATES, P.A.
Annual Report Filed 2020-01-14 Annual Report For MISSISSIPPI RETINA ASSOCIATES, P.A.
Annual Report Filed 2019-02-25 Annual Report For MISSISSIPPI RETINA ASSOCIATES, P.A.

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Date of last update: 23 Apr 2025

Sources: Mississippi Secretary of State