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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
Historical names: Anthony C. Broccoli, M.D., Inc.

Industry & Business Activity

NAICS

621320 Offices of Optometrists

This industry comprises establishments of health practitioners having the degree of O.D. (Doctor of Optometry) primarily engaged in the independent practice of optometry. These practitioners examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions. Offices of optometrists prescribe and/or provide eyeglasses, contact lenses, low vision aids, and vision therapy. They operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers, and may also provide the same services as opticians, such as selling and fitting prescription eyeglasses and contact lenses. Learn more at the U.S. Census Bureau

Companies doing Offices of optometrists

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. 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
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
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
NIKOLAS N. RAUFI MD PRESIDENT 1524 ATWOOD AVE JOHNSTON, RI 02919 USA

TREASURER

Name Role Address
WILLIAM J. ANDREONI MD TREASURER 1524 ATWOOD AVE JOHNSTON, RI 02919 USA

SECRETARY

Name Role Address
NIKOLAS N. RAUFI MD SECRETARY 1524 ATWOOD AVENUE JOHNSTON, RI 02919 USA

VICE PRESIDENT

Name Role Address
WILLIAM J. ANDREONI MD VICE PRESIDENT 1524 ATWOOD AVE 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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9725588401 2021-02-17 0165 PPS 1524 Atwood Ave, Johnston, RI, 02919-3228
Loan Status Date 2021-10-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 191160
Loan Approval Amount (current) 191160
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Johnston, PROVIDENCE, RI, 02919-3228
Project Congressional District RI-02
Number of Employees 25
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 192202.21
Forgiveness Paid Date 2021-09-10
1668537310 2020-04-28 0165 PPP 1524 Atwood Ave Suite 240, Johnston, RI, 02919
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82600
Loan Approval Amount (current) 82600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Johnston, PROVIDENCE, RI, 02919-0001
Project Congressional District RI-02
Number of Employees 25
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83387.53
Forgiveness Paid Date 2021-04-15

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Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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