| Name: | Waterman Eye Care, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 02 Aug 2004 (20 years ago) |
| Identification Number: | 000141918 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 426 SCRABBLETOWN RD. SUITE A, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF OPTOMETRY |
| NAICS: | 621320 - Offices of Optometrists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891822797 | 2007-02-27 | 2012-08-07 | 426 SCRABBLETOWN RD, SUITE A, NORTH KINGSTOWN, RI, 028523649, US | 426 SCRABBLETOWN RD, SUITE A, NORTH KINGSTOWN, RI, 028523649, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-295-7339 |
| Fax | 4012957311 |
Authorized person
| Name | DR. ELLIOT D. WATERMAN |
| Role | OWNER |
| Phone | 4012957339 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | ODTG-397 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9003840 |
| State | RI |
| Issuer | UNITED HEALTHCARE |
| Number | 2200506 |
| State | RI |
| Issuer | BLUE CHIP |
| Number | 003167 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 27923-5 |
| State | RI |
| Issuer | VISION SERVICE PLAN |
| Number | 021362703 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| LINN F. FREEDMAN, ESQ. | Agent | ROBINSON & COLE LLP ONE FINANCIAL PLAZA SUITE 1430, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ELLIOT WATERMAN | PRESIDENT | 426 SCRABBLETOWN RD., SUITE A NORTH KINGSTOWN, RI 02852 UNI |
| ELLIOT D WATERMAN | PRESIDENT | 426 SCRABBLETOWN RD., SUITE A NORTH KINGSTOWN, RI 02852 USA |
| Number | Name | File Date |
|---|---|---|
| 202446795650 | Annual Report | 2024-02-19 |
| 202333811780 | Annual Report | 2023-04-24 |
| 202214823860 | Annual Report | 2022-04-14 |
| 202197894170 | Annual Report | 2021-06-07 |
| 202196826550 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202035183310 | Annual Report | 2020-02-25 |
| 201987024890 | Annual Report | 2019-02-19 |
| 201859250530 | Annual Report | 2018-02-27 |
| 201734765810 | Annual Report | 2017-02-26 |
| 201693152380 | Annual Report | 2016-02-25 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
