| Name: | Atlantic Family Eye Care Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Jul 2000 (25 years ago) |
| Identification Number: | 000113536 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 2345 MENDON ROAD, WOONSOCKET, RI, 02895, USA |
| Purpose: | TO PROVIDE QUALITY FAMILY EYE CARE. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184769010 | 2007-02-20 | 2022-06-24 | 2345 MENDON RD, WOONSOCKET, RI, 028956164, US | 2345 MENDON RD, WOONSOCKET, RI, 028956164, US | |||||||||||||||||||||||||||
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| Phone | +1 401-765-5430 |
| Fax | 4017658175 |
Authorized person
| Name | MR. EMILY BURGESS |
| Role | OFFICE MANAGER |
| Phone | 4017655430 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NEIGHBORHOOD HEALTH |
| Number | 2680 |
| State | RI |
| Issuer | MEDICAID |
| Number | AF34660 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BRIAN KILEY | Agent | 2345 MENDON ROAD, WOONSOCKET, RI, 02895, USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM P FREITAS MD | PRESIDENT | 2345 MENDON ROAD WOONSOCKET, RI 02895- USA |
| Name | Role | Address |
|---|---|---|
| BRIAN P KILEY OD | VICE PRESIDENT | 2345 MENDON RD WOONSOCKET, RI 02895 USA |
| Number | Name | File Date |
|---|---|---|
| 202445878570 | Annual Report | 2024-02-07 |
| 202327076340 | Annual Report | 2023-02-01 |
| 202209896330 | Annual Report | 2022-02-09 |
| 202185980300 | Annual Report | 2021-01-13 |
| 202033320870 | Annual Report | 2020-01-29 |
| 201984602460 | Annual Report | 2019-01-17 |
| 201755254560 | Annual Report | 2017-12-21 |
| 201729390830 | Annual Report | 2017-01-03 |
| 201690300180 | Annual Report | 2016-01-11 |
| 201578887130 | Annual Report | 2015-09-11 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
