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  5. Ophthalmic Surgeons, Ltd.

Ophthalmic Surgeons, Ltd.

Company Details

Name: Ophthalmic Surgeons, Ltd.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 12 Nov 1976 (48 years ago)
Identification Number: 000020262
ZIP code: 02919
County: Providence County
Principal Address: 1524 ATWOOD AVENUE STE 240, JOHNSTON, RI, 02919, USA
Purpose: MEDICAL SERVICES
NAICS: 621320 - Offices of Optometrists
Historical names: Anthony C. Broccoli, M.D., Inc.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518952258 2005-09-19 2013-10-02 1524 ATWOOD AVE, SUITE 240, JOHNSTON, RI, 029193228, US 1524 ATWOOD AVE, SUITE 240, JOHNSTON, RI, 029193228, US

Contacts
Phone +1 401-272-2110
Fax 4012720388

Authorized person
Name DR. WILLIAM J ANDREONI
Role OWNER/PRESIDENT
Phone 4012722110

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OPHTHALMIC SURGEONS, LTD. PROFIT SHARING PLAN 2023 050370013 2024-08-22 OPHTHALMIC SURGEONS, LTD. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-09-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. PROFIT SHARING PLAN 2022 050370013 2023-05-10 OPHTHALMIC SURGEONS, LTD. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-09-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. PROFIT SHARING PLAN 2021 050370013 2022-05-26 OPHTHALMIC SURGEONS, LTD. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-09-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. PROFIT SHARING PLAN 2020 050370013 2021-04-15 OPHTHALMIC SURGEONS, LTD. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-09-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. PROFIT SHARING PLAN 2019 050370013 2020-07-08 OPHTHALMIC SURGEONS, LTD. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-09-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. DEFINED BENEFIT PLAN 2018 050370013 2019-04-22 OPHTHALMIC SURGEONS, LTD. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. DEFINED BENEFIT PLAN 2018 050370013 2019-10-16 OPHTHALMIC SURGEONS, LTD. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. PROFIT SHARING PLAN 2018 050370013 2019-04-22 OPHTHALMIC SURGEONS, LTD. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-09-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. DEFINED BENEFIT PLAN 2017 050370013 2018-06-18 OPHTHALMIC SURGEONS, LTD. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSON, RI, 02919
OPHTHALMIC SURGEONS, LTD. PROFIT SHARING PLAN 2017 050370013 2018-06-18 OPHTHALMIC SURGEONS, LTD. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-09-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSON, RI, 02919
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/21/20170821130845P040092447815001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSON, RI, 02919
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/21/20170821121506P030083646541001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1990-09-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSON, RI, 02919
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/04/11/20160411090207P030033234455001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2016-04-11
Name of individual signing DR. WILLIAM J. ANDREONI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/10/20150610152727P040037105639001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing DR. WILLIAM J. ANDREONI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/27/20140527082903P030120315877001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing DR. WILLIAM J. ANDREONI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/03/20130703110147P030365364977001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2013-07-03
Name of individual signing DR. WILLIAM J. ANDREONI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/10/20121010094325P030000469173001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4012722110
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 240, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050370013
Plan administrator’s name OPHTHALMIC SURGEONS, LTD.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4012720388

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing DR. WILLIAM J. ANDREONI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LAWYERSCOLLABORATIVE Agent 400 RESERVOIR AVENUE SUITE 3A, PROVIDENCE, RI, 02907, USA

PRESIDENT

Name Role Address
WILLIAM J ANDREONI MD PRESIDENT 1524 ATWOOD AVENUE JOHNSTON, RI 02919 USA

Events

Type Date Old Value New Value
Name Change 1984-02-16 Anthony C. Broccoli, M.D., Inc. Ophthalmic Surgeons, Ltd.

Filings

Number Name File Date
202446139030 Annual Report 2024-02-11
202444890780 Statement of Change of Registered/Resident Agent 2024-01-29
202330590840 Annual Report 2023-03-13
202212149340 Annual Report 2022-03-04
202187649250 Annual Report 2021-01-24
202035061690 Annual Report 2020-02-25
201984775830 Annual Report 2019-01-19
201856418320 Annual Report 2018-01-20
201734015230 Annual Report 2017-02-14
201692831330 Annual Report 2016-02-22

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WILLIAM J ANDREONI MD

EYE-SHOP, INC.

Related by address

No related companies by address

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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