| Name: | Joseph A. Boivin, O.D., Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Apr 2001 (24 years ago) |
| Identification Number: | 000117922 |
| ZIP code: | 02878 |
| County: | Newport County |
| Principal Address: | 1820 MAIN ROAD, TIVERTON, RI, 02878, USA |
| Purpose: | OPTOMETRY SERVICES AND RETAIL SALE OF EYEWEAR AND ACCESSORIES |
| NAICS: | 621320 - Offices of Optometrists |
| Fictitious names: |
Tiverton Eyecare (trading name, 2022-04-18 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376721381 | 2008-02-01 | 2023-10-31 | 1820 MAIN RD, TIVERTON, RI, 028784625, US | 1820 MAIN RD, TIVERTON, RI, 028784625, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-624-6672 |
| Fax | 4016244769 |
Authorized person
| Name | JOSEPH A BOIVIN |
| Role | PRESIDENT |
| Phone | 4016246672 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Taxonomy Code | 332H00000X - Eyewear Supplier |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9007778 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JOSHUA R. HOLLAND, ESQ. | Agent | 3913 MAIN ROAD UNIT E, TIVERTON, RI, 02878, USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH A BOIVIN | PRESIDENT | 1820 MAIN ROAD TIVERTON, RI 02878- USA |
| Number | Name | File Date |
|---|---|---|
| 202449202100 | Annual Report | 2024-03-19 |
| 202328818840 | Annual Report | 2023-02-17 |
| 202215116600 | Fictitious Business Name Statement | 2022-04-18 |
| 202209906200 | Annual Report | 2022-02-07 |
| 202192142230 | Annual Report | 2021-02-19 |
| 202034017030 | Annual Report | 2020-02-07 |
| 201988137760 | Annual Report | 2019-02-25 |
| 201858619400 | Annual Report | 2018-02-20 |
| 201858619310 | Statement of Change of Registered/Resident Agent Office | 2018-02-20 |
| 201737387730 | Annual Report | 2017-03-03 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
