Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Washington County
    4. ›
  4. 02879
    5. ›
  5. Seacoast Eye Associates, Inc.

Seacoast Eye Associates, Inc.

Company Details

Name: Seacoast Eye Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 16 Dec 1999 (25 years ago)
Date of Dissolution: 06 Nov 2014 (10 years ago)
Date of Status Change: 06 Nov 2014 (10 years ago)
Identification Number: 000109803
ZIP code: 02879
County: Washington County
Principal Address: 70 KENYON AVENUE SUITE 211, WAKEFIELD, RI, 02879, USA
Purpose: TO RENDER PROFESSIONAL SERVICES BY OPHTHAMOLOGISTS AND OPTOMETRISTS LICENSED TO PRACTICE IN THE STATE OF RHODE ISLAND.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194868562 2007-02-15 2008-04-20 70 KENYON AVE, SUITE 211, WAKEFIELD, RI, 028794239, US 70 KENYON AVE, SUITE 211, WAKEFIELD, RI, 028794239, US

Contacts
Phone +1 401-783-7009
Fax 4017893909

Authorized person
Name BARRY M WEPMAN
Role VICE PRESIDENT
Phone 4017837009

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number MD05238
State RI
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS RHODE ISLAND
Number 21191-8
State RI
Issuer MEDICAID
Number SE32280
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEACOAST EYE ASSOCIATES, INC. PROFIT SHARING PLAN 2012 050508472 2013-12-09 SEACOAST EYE ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4017837009
Plan sponsor’s address 70 KENYON AVENUE, SUITE 211, WAKEFIELD, RI, 028794239

Signature of
Role Plan administrator
Date 2013-12-09
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-09
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
SEACOAST EYE ASSOCIATES, INC. PROFIT SHARING PLAN 2012 050508472 2013-07-15 SEACOAST EYE ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4017837009
Plan sponsor’s address 70 KENYON AVENUE, SUITE 211, WAKEFIELD, RI, 028794239

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
SEACOAST EYE ASSOCIATES, INC. 2011 050508472 2012-07-10 SEACOAST EYE ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4017837009
Plan sponsor’s address 70 KENYON AVENUE, SUITE 211, WAKEFIELD, RI, 028794239

Plan administrator’s name and address
Administrator’s EIN 050508472
Plan administrator’s name SEACOAST EYE ASSOCIATES, INC.
Plan administrator’s address 70 KENYON AVENUE, SUITE 211, WAKEFIELD, RI, 028794239
Administrator’s telephone number 4017837009

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-10
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
SEACOAST EYE ASSOCIATES, INC. PROFIT SHARING PLAN 2010 050508472 2011-03-28 SEACOAST EYE ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4017837009
Plan sponsor’s address 70 KENYON AVENUE, SUITE 211, WAKEFIELD, RI, 028794239

Plan administrator’s name and address
Administrator’s EIN 050508472
Plan administrator’s name SEACOAST EYE ASSOCIATES, INC.
Plan administrator’s address 70 KENYON AVENUE, SUITE 211, WAKEFIELD, RI, 028794239
Administrator’s telephone number 4017837009

Signature of
Role Plan administrator
Date 2011-03-28
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-28
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
SEACOAST EYE ASSOCIATES, INC. PROFIT SHARING PLAN 2009 050508472 2010-09-08 SEACOAST EYE ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4017837009
Plan sponsor’s address SOUTH COUNTY HOSPITAL, 70 KENYON AVENUE, SUITE 211, WAKEFIELD, RI, 028794239

Plan administrator’s name and address
Administrator’s EIN 050508472
Plan administrator’s name SEACOAST EYE ASSOCIATES, INC.
Plan administrator’s address SOUTH COUNTY HOSPITAL, 70 KENYON AVENUE, SUITE 211, WAKEFIELD, RI, 028794239
Administrator’s telephone number 4017837009

Signature of
Role Plan administrator
Date 2010-09-08
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing BARRY WEPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BARRY WEPMAN MD Agent 70 KENYON AVENUE SUITE 211, WAKEFIELD, RI, 02879, USA

VICE-PRESIDENT

Name Role Address
BARRY WEPMAN MD VICE-PRESIDENT 70 KENYON AVENUE, SUITE 211 WAKEFIELD, RI 02879 USA

VICE PRESIDENT

Name Role Address
MARK DERESIENSKI OD VICE PRESIDENT 70 KENYON AVE WAKEFIELD, RI 02879 USA

Filings

Number Name File Date
201449493970 Revocation Certificate For Failure to File the Annual Report for the Year 2014-11-06
201439470460 Revocation Notice For Failure to File An Annual Report 2014-05-20
201309600560 Annual Report 2013-01-13
201187306570 Annual Report 2011-12-27
201175455110 Annual Report 2011-02-23
201175454960 Annual Report 2011-02-23
201175455020 Statement of Change of Registered/Resident Agent 2011-02-23
201175454780 Reinstatement 2011-02-23
201072043140 Revocation Certificate For Failure to File the Annual Report for the Year 2010-11-09
201063165420 Revocation Notice For Failure to File An Annual Report 2010-06-16

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated