Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Providence County
    4. ›
  4. 02905
    5. ›
  5. Pediatric Ophthalmology and Strabismus Associates, Inc.

Pediatric Ophthalmology and Strabismus Associates, Inc.

Company Details

Name: Pediatric Ophthalmology and Strabismus Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 23 Jun 2000 (25 years ago)
Identification Number: 000113151
ZIP code: 02905
County: Providence County
Principal Address: 2 DUDLEY STREET SUITE 505, PROVIDENCE, RI, 02905, USA
Purpose: TO PROVIDE PEDIATRIC OPHTHALMOLOGY SERVICES TO PATIENTS

Industry & Business Activity

NAICS

621320 Offices of Optometrists

This industry comprises establishments of health practitioners having the degree of O.D. (Doctor of Optometry) primarily engaged in the independent practice of optometry. These practitioners examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions. Offices of optometrists prescribe and/or provide eyeglasses, contact lenses, low vision aids, and vision therapy. They operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers, and may also provide the same services as opticians, such as selling and fitting prescription eyeglasses and contact lenses. Learn more at the U.S. Census Bureau

Companies doing Offices of optometrists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578678777 2006-08-20 2023-05-30 2 DUDLEY ST, SUITE 505, PROVIDENCE, RI, 029053236, US 2 DUDLEY ST, SUITE 505, PROVIDENCE, RI, 029053236, US

Contacts
Phone +1 401-444-7008
Fax 4014444862

Authorized person
Name TANYA ALVES
Role PRACTICE MANAGER
Phone 4014447008

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number RI7784
State RI
Is Primary No
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POS RETIREMENT PLAN 2023 050512251 2024-04-10 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2024-04-10
Name of individual signing DR. DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2022 050512251 2023-03-31 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2023-03-31
Name of individual signing DR. DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2021 050512251 2022-07-25 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing DR. DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2020 050512251 2021-03-17 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2021-03-17
Name of individual signing DR. DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2019 050512251 2020-04-16 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2020-04-16
Name of individual signing DR. DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2018 050512251 2019-05-03 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2019-05-03
Name of individual signing DR. DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2017 050512251 2018-04-10 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2018-04-10
Name of individual signing DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2016 050512251 2017-10-01 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2017-10-01
Name of individual signing DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2015 050512251 2016-09-01 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2016-09-01
Name of individual signing DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
POS RETIREMENT PLAN 2014 050512251 2015-04-06 PEDIATRIC OPHTHALMOLOGY AND STRABISMUS ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2015-04-06
Name of individual signing DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/10/20140610081304P040135843669001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/09/20130409074614P040059812581001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050512251
Plan administrator’s name PEDIATRIC OPTHALMOLOGY AND STRABISMUS ASSOCIATES, INC.
Plan administrator’s address 2 DUDLEY STREET, PROVIDENCE, RI, 029053236
Administrator’s telephone number 4014447008

Signature of
Role Plan administrator
Date 2013-04-09
Name of individual signing DAVID TIEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/19/20120719080505P040007198866001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4014447008
Plan sponsor’s address 2 DUDLEY STREET, SUITE 505, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050512251
Plan administrator’s name PEDIATRIC OPTHALMOLOGY AND STRABISMUS ASSOCIATES, INC.
Plan administrator’s address 2 DUDLEY STREET, PROVIDENCE, RI, 029053236
Administrator’s telephone number 4014447008

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing DAVID TIEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN W. WOLFE, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

DIRECTOR, PRESIDENT

Name Role Address
DAVID ROBBINS TIEN M.D. DIRECTOR, PRESIDENT 2 DUDLEY STREET, SUITE 505 PROVIDENCE, RI 02905 USA

DIRECTOR

Name Role Address
TINEKE CHAN M.D. DIRECTOR 2 DUDLEY STREET, SUITE 505 PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
202454556250 Annual Report 2024-05-20
202330928760 Annual Report 2023-03-15
202221219780 Annual Report 2022-07-13
202220056250 Revocation Notice For Failure to File An Annual Report 2022-06-27
202208072230 Statement of Change of Registered/Resident Agent 2022-01-18
202190103800 Annual Report 2021-02-05
202036619250 Annual Report 2020-03-20
201985080690 Annual Report 2019-01-24
201985080320 Statement of Change of Registered/Resident Agent Office 2019-01-24
201857235610 Annual Report 2018-02-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8762878410 2021-02-13 0165 PPS 2 Dudley St Ste 505, Providence, RI, 02905-3249
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 199202
Loan Approval Amount (current) 199202
Undisbursed Amount 0
Franchise Name -
Lender Location ID 84894
Servicing Lender Name Santander Bank, National Association
Servicing Lender Address 824 N Market St, Ste 100, WILMINGTON, DE, 19801-4937
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Providence, PROVIDENCE, RI, 02905-3249
Project Congressional District RI-02
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 84894
Originating Lender Name Santander Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 200364.47
Forgiveness Paid Date 2021-09-24
9298937201 2020-04-28 0165 PPP 2 Dudley St, Providence, RI, 02905
Loan Status Date 2021-04-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 160385
Loan Approval Amount (current) 160385
Undisbursed Amount 0
Franchise Name -
Lender Location ID 84894
Servicing Lender Name Santander Bank, National Association
Servicing Lender Address 824 N Market St, Ste 100, WILMINGTON, DE, 19801-4937
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Providence, PROVIDENCE, RI, 02905-0001
Project Congressional District RI-02
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 84894
Originating Lender Name Santander Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 161786.72
Forgiveness Paid Date 2021-03-17

Related by officers

JOHN W. WOLFE, ESQ.

GTS FLEXIBLE MATERIALS, INC. RIDE, Inc. LIGHTNING BAY, INC. BROWN NEUROLOGY DIAGNOSTIC INFORMATION SYSTEM, INC. Frank J. Jehle, Jr., M.D., Inc. AAD, LLC C.D.2.I, INC. AMERICAN FRIENDS OF THE HAKLUYT SOCIETY SEASCAPE LAWN CARE INC.

Related by address

No related companies by address

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated