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BOWERS AND BACK, PLLC

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Company Details

Name: BOWERS AND BACK, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Feb 2008 (17 years ago)
Organization Date: 14 Feb 2008 (17 years ago)
Last Annual Report: 01 Sep 2016 (9 years ago)
Managed By: Members
Organization Number: 0685637
ZIP code: 40504
City: Lexington
Primary County: Fayette County
Principal Office: 715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY 40504
Place of Formation: KENTUCKY

Registered Agent

Name Role
C. RICHARD BOWERS, JR., M.D. Registered Agent

Member

Name Role
W. DOUGLAS BACK Member
C. Richard Bowers Member

Organizer

Name Role
W. DOUGLAS BACK, M.D. Organizer

National Provider Identifier

NPI Number:
1063680304

Authorized Person:

Name:
DR. W DOUGLAS BACK
Role:
SECRETARY/MEMBER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
261966203
Plan Year:
2014
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
9
Sponsors Telephone Number:

Former Company Names

Name Action
BLUEGRASS EYECARE CENTER, PLLC Old Name

Filings

Name File Date
Dissolution 2016-10-04
Annual Report 2016-09-01
Annual Report 2015-04-02
Amendment 2014-11-21
Registered Agent name/address change 2014-02-03

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Sources: Kentucky Secretary of State