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BLUEGRASS EYE SURGERY, PSC

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Company Details

Name: BLUEGRASS EYE SURGERY, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 30 Aug 2007 (18 years ago)
Organization Date: 30 Aug 2007 (18 years ago)
Last Annual Report: 26 Feb 2016 (9 years ago)
Organization Number: 0672526
ZIP code: 40356
City: Nicholasville
Primary County: Jessamine County
Principal Office: 205 KEENE MANOR CIRCLE, NICHOLASVILLE, KY 40356
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
Gary N. Wortz, MD President

Shareholder

Name Role
Gary N. Wortz, MD Shareholder

Incorporator

Name Role
GARY N WORTZ, M.D. Incorporator

Registered Agent

Name Role
GARY W. WORTZ MD Registered Agent

National Provider Identifier

NPI Number:
1073799268

Authorized Person:

Name:
GARY N WORTZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2706920219

Filings

Name File Date
Dissolution 2016-06-08
Annual Report 2016-02-26
Registered Agent name/address change 2016-02-26
Principal Office Address Change 2015-04-03
Principal Office Address Change 2015-02-03

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Sources: Kentucky Secretary of State