| Name: | COLLINS OPTICAL CENTER, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 20 Nov 1986 (38 years ago) |
| Date of Dissolution: | 10 Nov 1998 (26 years ago) |
| Date of Status Change: | 10 Nov 1998 (26 years ago) |
| Identification Number: | 000040742 |
| ZIP code: | 02917 |
| County: | Providence County |
| Principal Address: | 19 SANDERSON ROAD, SMITHFIELD, RI, 02917, USA |
| Purpose: | 7-1.1-51 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588842496 | 2008-02-01 | 2008-04-16 | 3 COMMERCE ST, UNIT 5, GREENVILLE, RI, 02828, US | 3 COMMERCE ST, UNIT 5, GREENVILLE, RI, 02828, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 401-949-5330 |
| Fax | 4019491190 |
Authorized person
| Name | MR. BARRY R COLLINS |
| Role | OPTICIAN OWNER |
| Phone | 4019495330 |
Taxonomy
| Taxonomy Code | 156FX1800X - Optician |
| License Number | 72 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CHIP |
| Number | 407257 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 78803 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BARRY R. COLLINS | Agent | 9 SANDERSON ROAD ##P.O. BOX 17502, SMITHFIELD, RI, 02917, USA |
| Name | Role | Address |
|---|---|---|
| BARRY R COLLINS | PRESIDENT | 12 CHURCH STREET GREENVILLE, RI 02828 USA |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
