| Name: | Spino Opticians, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 01 Jul 1991 (34 years ago) |
| Date of Dissolution: | 03 Sep 1997 (27 years ago) |
| Date of Status Change: | 03 Sep 1997 (27 years ago) |
| Identification Number: | 000064868 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 265 WATERMAN ST, PROVIDENCE, RI, 02906, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316073596 | 2007-02-24 | 2020-08-22 | 1543 SMITH ST, N PROVIDENCE, RI, 029112943, US | 1543 SMITH ST, N PROVIDENCE, RI, 029112943, US | |||||||||||||||||||||||||
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| Phone | +1 401-353-2010 |
| Fax | 4013530380 |
Authorized person
| Name | LUCIEN SPINO |
| Role | REGISTERED OPTICIANS |
| Phone | 4013532010 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | RI135 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9009770 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| LUCIEN M. SPINO | Agent | 16 RED CHIMNEY DRIVE, LINCOLN, RI, 02865, USA |
| Name | Role | Address |
|---|---|---|
| LUCIEN M SPINO | PRESIDENT | 16 RED CHIMNEY DR LINCOLN, RI 02865 USA |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
