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  5. OCEAN STATE EYE CARE, INC.

OCEAN STATE EYE CARE, INC.

Company Details

Name: OCEAN STATE EYE CARE, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 14 May 1998 (27 years ago)
Identification Number: 000100546
ZIP code: 02886
County: Kent County
Principal Address: 1050 CENTERVILLE RD, WARWICK, RI, 02886, USA
Purpose: RENDERING OPTOMETRY SERVICES.
NAICS: 621320 - Offices of Optometrists
Fictitious names: Centerville Eyewear (trading name, 2012-08-20 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396711347 2006-02-28 2008-06-23 1050 CENTERVILLE RD, WARWICK, RI, 028864209, US 1050 CENTERVILLE RD, WARWICK, RI, 028864209, US

Contacts
Phone +1 401-828-3200

Authorized person
Name DAVID MILLS
Role OWNER
Phone 4018283200

Taxonomy
Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number OS6803
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OCEAN STATE EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2017 050498620 2018-07-23 OCEAN STATE EYE CARE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621320
Sponsor’s telephone number 4018283200
Plan sponsor’s address 1050 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing DAVID MILLS
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2015 050498620 2016-07-26 OCEAN STATE EYE CARE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621320
Sponsor’s telephone number 4018283200
Plan sponsor’s address 1050 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing JEFFREY AINLEY
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2014 050498620 2015-06-16 OCEAN STATE EYE CARE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621320
Sponsor’s telephone number 4018283200
Plan sponsor’s address 1050 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing JEFFREY AINLEY
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2013 050498620 2014-06-13 OCEAN STATE EYE CARE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621320
Sponsor’s telephone number 4018283200
Plan sponsor’s address 1050 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing DAVID MILLS
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE EYE CARE PROFIT SHARING PLAN 2011 050498620 2012-07-09 OCEAN STATE EYE CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621320
Sponsor’s telephone number 4018283200
Plan sponsor’s address 1050 CENTERVILLE RD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050498620
Plan administrator’s name SAME
Plan administrator’s address 1050 CENTERVILLE RD, WARWICK, RI, 02886
Administrator’s telephone number 4018283200

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing DAVID MILLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-09
Name of individual signing DAVID MILLS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAVID MILLS, O.D. Agent 1050 CENTERVILLE ROAD, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
JEFFREY DAVID AINLEY PRESIDENT 1050 CENTERVILLE RD WARWICK, RI 02886 USA

OTHER OFFICER

Name Role Address
JEFFREY AINLEY OTHER OFFICER 1050 CENTERVILLE RD WARWICK, RI 02886 UNI

Filings

Number Name File Date
202445367740 Annual Report 2024-02-02
202328954700 Annual Report 2023-02-21
202213396310 Annual Report 2022-03-24
202198178440 Annual Report 2021-06-11
202196786980 Revocation Notice For Failure to File An Annual Report 2021-05-19
202057668080 Annual Report 2020-09-24
202055001140 Revocation Notice For Failure to File An Annual Report 2020-09-16
201918857650 Annual Report 2019-09-11
201907013500 Revocation Notice For Failure to File An Annual Report 2019-07-24
201876758240 Annual Report 2018-09-06

Related by officers

No related officers

Related by address

1050 CENTERVILLE RD, WARWICK, RI, 02886, USA

NANVAN PROPERTIES, LLC.

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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