| Name: | Charles M. Collins, MD, LTD. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Jul 2001 (24 years ago) |
| Identification Number: | 000119254 |
| ZIP code: | 02842 |
| County: | Newport County |
| Principal Address: | 939 W. MAIN ROAD, MIDDLETOWN, RI, 02842, USA |
| Purpose: | TO PROVIDE OPHTHALMOLOGY, OPTOMETRY AND OPTICAL SERVICES INCLUDING SURGERY |
| NAICS: | 621320 - Offices of Optometrists |
| Fictitious names: |
EYE CARE FOR RHODE ISLAND (trading name, 2011-06-07 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851492482 | 2006-09-26 | 2023-07-18 | 939 W MAIN RD, MIDDLETOWN, RI, 028426390, US | 939 W MAIN RD, MIDDLETOWN, RI, 028426390, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-847-1383 |
| Fax | 4018471384 |
Authorized person
| Name | NERRY TERPENING |
| Role | OFFICE MANAGER |
| Phone | 4018471383 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | No |
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | 0017102 |
| State | MA |
| Issuer | MEDICAID |
| Number | CC41177 |
| State | RI |
| Issuer | MEDICAID |
| Number | 9022363 |
| State | RI |
| Issuer | MEDICAID |
| Number | 9004227 |
| State | RI |
| Issuer | MEDICARE |
| Number | 709006179 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CHARLES M. COLLINS | Agent | 939 WEST MAIN ROAD, MIDDLETOWN, RI, 02842, USA |
| Name | Role | Address |
|---|---|---|
| CHARLES M COLLINS | TREASURER | 213 FISCHER CIRCLE PORTSMOUTH, RI 02871 USA |
| Name | Role | Address |
|---|---|---|
| CHARLES M COLLINS | PRESIDENT | 213 FISCHER CIRCLE PORTSMOUTH, RI 02871- USA |
| Name | Role | Address |
|---|---|---|
| CHARLES M. COLLINS | OTHER OFFICER | 939 W. MAIN ROAD MIDDLETOWN, RI 02842 UNI |
| Number | Name | File Date |
|---|---|---|
| 202452887590 | Annual Report | 2024-04-28 |
| 202334815020 | Annual Report | 2023-05-01 |
| 202217228130 | Annual Report | 2022-05-12 |
| 202190347790 | Annual Report | 2021-02-08 |
| 202033865010 | Annual Report | 2020-02-06 |
| 201985937200 | Annual Report | 2019-02-05 |
| 201858768900 | Annual Report | 2018-02-22 |
| 201734590980 | Annual Report | 2017-02-23 |
| 201692302100 | Annual Report | 2016-02-11 |
| 201554616370 | Annual Report | 2015-02-05 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
