| 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)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners 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. Learn more at the U.S. Census Bureau
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7299507106 | 2020-04-14 | 0165 | PPP | 2345 MENDON RD, WOONSOCKET, RI, 02895-6187 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
