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  5. CUMBERLAND FAMILY EYE CARE, LTD.

CUMBERLAND FAMILY EYE CARE, LTD.

Company Details

Name: CUMBERLAND FAMILY EYE CARE, LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 26 Feb 1990 (35 years ago)
Identification Number: 000059406
ZIP code: 02864
County: Providence County
Principal Address: 248 BROAD STREET, CUMBERLAND, RI, 02864, USA
Purpose: OPTOMETRY PRACTICE
NAICS: 621320 - Offices of Optometrists
Fictitious names: East Providence Family Eye Care, LTD (trading name, 2009-12-24 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922195890 2006-10-10 2011-12-30 250 WAMPANOAG TRL, SUITE 304, RIVERSIDE, RI, 029152218, US 250 WAMPANOAG TRAIL, SUITE 304, EAST PROVIDENCE, RI, 029152217, US

Contacts
Phone +1 401-435-5555
Fax 4014315906

Authorized person
Name DR. STEVEN W. SANTOS
Role TREASURER
Phone 4014355555

Taxonomy
Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number CF00226
State RI
Issuer MEDICAID
Number EP00226
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2023 050451107 2024-09-27 CUMBERLAND FAMILY EYE CARE, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2024-09-27
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2022 050451107 2023-06-04 CUMBERLAND FAMILY EYE CARE, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2023-06-04
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2021 050451107 2022-07-28 CUMBERLAND FAMILY EYE CARE, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2020 050451107 2021-03-11 CUMBERLAND FAMILY EYE CARE, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2021-03-11
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2019 050451107 2020-10-12 CUMBERLAND FAMILY EYE CARE, LTD. 15
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2019 050451107 2022-08-01 CUMBERLAND FAMILY EYE CARE, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2018 050451107 2019-08-08 CUMBERLAND FAMILY EYE CARE, LTD. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2019-08-08
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2017 050451107 2018-06-19 CUMBERLAND FAMILY EYE CARE, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2016 050451107 2017-05-03 CUMBERLAND FAMILY EYE CARE, LTD. 9
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2017-05-03
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY EYE CARE 401(K) PLAN 2016 050451107 2017-06-12 CUMBERLAND FAMILY EYE CARE, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/05/26/20160526214218P030093642833001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/19/20150819202859P040020292081001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 4017262929
Plan sponsor’s address 248 BROAD STREET, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2015-08-19
Name of individual signing STEVEN SANTOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEVEN W. SANTOS Agent 248 BROAD STREET, CUMBERLAND, RI, 02864, USA

PRESIDENT

Name Role Address
STEVEN W. SANTOS PRESIDENT 8 VALLEY STREAM DR. CUMBERLAND, RI 02864 USA

TREASURER

Name Role Address
MARIA G SANTOS TREASURER 8 VALLEY STREAM DRIVE CUMBERLAND, RI 02864 USA

SECRETARY

Name Role Address
LYNN M LEMOS SECRETARY 27 SOUTHBURY ROAD CUMBERLAND, RI 02864 USA

VICE PRESIDENT

Name Role Address
LIONEL LEMOS JR. VICE PRESIDENT 27 SOUTHBURY RD. CUMBERLAND, RI 02864 USA

Events

Type Date Old Value New Value
Merged 2009-12-31 EAST PROVIDENCE FAMILY EYE CARE, LTD. on CUMBERLAND FAMILY EYE CARE, LTD.

Filings

Number Name File Date
202445779930 Annual Report 2024-02-06
202328900400 Annual Report 2023-02-20
202209634590 Annual Report 2022-02-07
202193625570 Annual Report 2021-03-05
202036354340 Annual Report 2020-03-14
201984769370 Annual Report 2019-01-19
201855647370 Annual Report 2018-01-04
201739581640 Annual Report 2017-04-05
201693517440 Annual Report 2016-03-01
201552848250 Annual Report - Amended 2015-01-07

Related by officers

STEVEN W. SANTOS

RHODE ISLAND OPTOMETRIC ASSOCIATION EAST PROVIDENCE FAMILY EYE CARE, LTD. ELM ST. PROPERTIES LTD.

LIONEL LEMOS JR.

ELM ST. PROPERTIES LTD.

Related by address

248 BROAD STREET, CUMBERLAND, RI, 02864, USA

ELM ST. PROPERTIES LTD.

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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