| Name: | Wickford Optical, L.L.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 11 Oct 1995 (29 years ago) |
| Date of Dissolution: | 14 May 2014 (11 years ago) |
| Date of Status Change: | 14 May 2014 (11 years ago) |
| Identification Number: | 000086395 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 7805 POST ROAD, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | DISPENSING AND SALE OF EYE GLASSES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295953768 | 2007-04-23 | 2010-03-02 | 7805 POST RD, NORTH KINGSTOWN, RI, 028524405, US | 7805 POST RD, NORTH KINGSTOWN, RI, 028524405, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-294-1010 |
| Fax | 4012952050 |
Authorized person
| Name | DR. DOMENIC A COPPOLINO |
| Role | PARTNER |
| Phone | 4012941010 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | ODTG 00369 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | WO16877 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| SCOTT T. SPEAR, ESQ. | Agent | 30 EXCHANGE TERRACE, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| PETER A KOCH | Manager | 7805 POST ROAD NORTH KINGSTOWN, RI 02852 USA |
| Number | Name | File Date |
|---|---|---|
| 201438909970 | Revocation Certificate For Failure to File the Annual Report for the Year | 2014-05-14 |
| 201433196320 | Revocation Notice For Failure to File An Annual Report | 2014-01-17 |
| 201313682550 | Annual Report | 2013-03-08 |
| 201308091080 | Revocation Notice For Failure to File An Annual Report | 2013-01-09 |
| 201183037630 | Annual Report | 2011-09-15 |
| 201067490780 | Annual Report | 2010-09-21 |
| 200951704790 | Annual Report | 2009-09-24 |
| 200835656650 | Annual Report | 2008-09-23 |
| 200700664290 | Annual Report | 2007-09-13 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
