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DISTLER, HUNTINGTON & BLAIR, PSC

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Company Details

Name: DISTLER, HUNTINGTON & BLAIR, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 31 Oct 1996 (29 years ago)
Organization Date: 31 Oct 1996 (29 years ago)
Last Annual Report: 06 Jun 2016 (9 years ago)
Organization Number: 0423533
ZIP code: 40014
City: Crestwood, Ballardsville, Orchard Grass, Orchard Gr...
Primary County: Oldham County
Principal Office: 6400 WESTWIND WAY, CRESTWOOD, KY 40014
Place of Formation: KENTUCKY
Authorized Shares: 1000

Director

Name Role
ANNE C HUNTINGTON MD Director
JOHN A DISTLER MD Director
B MATTHEW BLAIR MD Director

Secretary

Name Role
B. MATTHEW BLAIR MD Secretary

Shareholder

Name Role
B Matthew Blair Shareholder
Anne C Huntington Shareholder
John A Distler Shareholder

Incorporator

Name Role
JOHN A. DISTLER, M.D. Incorporator
ANNE C. HUNTINGTON, M.D. Incorporator

Vice President

Name Role
B MATTHEW BLAIR MD Vice President
ANNE C HUNTINGTON MD Vice President

President

Name Role
JOHN A DISTLER MD President

Registered Agent

Name Role
JOHN A. DISTLER, M.D. Registered Agent

National Provider Identifier

NPI Number:
1780047456

Authorized Person:

Name:
JENNIFER BUTTS
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
5022432237
Fax:
5023674020

Form 5500 Series

Employer Identification Number (EIN):
611312680
Plan Year:
2018
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
24
Sponsors Telephone Number:

Former Company Names

Name Action
HUNTINGTON & DISTLER, PSC Old Name

Assumed Names

Name Status Expiration Date
THE OPHTHALMOLOGY CENTER Inactive -
BLUEGRASS EYE CENTER Inactive 2017-05-02
BLUEGRASS EYE PHYSICIANS & SURGEONS Inactive 2010-03-30

Filings

Name File Date
Administrative Dissolution 2017-10-09
Annual Report 2016-06-06
Annual Report 2015-04-03
Principal Office Address Change 2014-06-17
Registered Agent name/address change 2014-06-17

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Sources: Kentucky Secretary of State