| Name: | Newport Optical, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 21 Apr 1986 (39 years ago) |
| Date of Dissolution: | 24 Apr 2023 (2 years ago) |
| Date of Status Change: | 24 Apr 2023 (2 years ago) |
| Identification Number: | 000038343 |
| ZIP code: | 02863 |
| County: | Providence County |
| Principal Address: | 1002 BROAD ST, CENTRAL FALLS, RI, 02863-1500, USA |
| Purpose: | PURCHASES,SALES AND PREPERATION OF ALL OPTICAL GOODS |
| NAICS: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477767630 | 2007-05-09 | 2020-08-22 | 1002 BROAD ST, SUITE 7, CENTRAL FALLS, RI, 028631500, US | 1002 BROAD ST, SUITE 7, CENTRAL FALLS, RI, 028631500, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-723-0083 |
| Fax | 4017224950 |
Authorized person
| Name | DR. SAFA F WAGDI |
| Role | PRESIDENT |
| Phone | 4017230083 |
Taxonomy
| Taxonomy Code | 156FX1800X - Optician |
| License Number | RI 93 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ID BLUE CROSS&BLUE SHIELD |
| Number | 295628 |
| State | RI |
| Issuer | MEDICAID |
| Number | NO 00725 |
| State | RI |
| Issuer | BLUE CROSS&BLUE SHIELD |
| Number | ZBH770 |
| State | MA |
| Issuer | ID BLUE CHIP OF RI |
| Number | 409033 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| SAFA F. WAGDI, MD | Agent | 1002 BROAD STREET, CENTRAL FALLS, RI, 02863, USA |
| Name | Role | Address |
|---|---|---|
| SAFA F WAGDI MD | TREASURER | 24 AURORA DR CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| SAFA F WAGDI MD | PRESIDENT | 24 AURORA DRIVE CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| NADIA A WAGDI MRS | SECRETARY | 24 AURORA DR CUMBERLAND, RI 02863 USA |
| Name | Role | Address |
|---|---|---|
| SAFA WAGDI | OTHER OFFICER | 1002 BROAD ST CENTRAL FALLS, 02863-1500 |
| Number | Name | File Date |
|---|---|---|
| 202333775190 | Articles of Dissolution | 2023-04-24 |
| 202212248520 | Annual Report | 2022-03-06 |
| 202188747270 | Annual Report | 2021-01-31 |
| 202032807750 | Annual Report | 2020-01-22 |
| 201989350320 | Annual Report | 2019-03-27 |
| 201857197620 | Annual Report | 2018-01-31 |
| 201739039600 | Annual Report | 2017-03-28 |
| 201694936240 | Annual Report | 2016-03-22 |
| 201558361870 | Annual Report | 2015-04-03 |
| 201437910670 | Annual Report | 2014-03-31 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
