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University Optometrist Services, Inc.

Company Details

Name: University Optometrist Services, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 16 Aug 2005 (20 years ago)
Date of Dissolution: 04 Oct 2006 (19 years ago)
Date of Status Change: 04 Oct 2006 (19 years ago)
Identification Number: 000149955
Purpose: OPTOMETRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205098050 2008-07-01 2008-07-01 50 LOWER COLLEGE RD, KINGSTON, RI, 02881, US 50 LOWER COLLEGE RD, KINGSTON, RI, 02881, US

Contacts

Phone +1 401-874-4063
Fax 4018747559

Authorized person

Name DR. DAWN OSHEA MICHAEL
Role OPTOMETRIST OWNER
Phone 4018744063

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number ODT453
State RI
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE PTAN
Number 419002976
State RI

Agent

Name Role Address
WILLIAM A. NARDONE Agent 53 HIGH STREET, WESTERLY, RI, 02891-, USA

INCORPORATOR

Name Role Address
WILLIAM A NARDONE INCORPORATOR 53 HIGH STREET WESTERLY, RI 02891- USA

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2076647908 2020-06-11 0165 PPP 50 LOWER COLLEGE RD, KINGSTON, RI, 02881
Loan Status Date 2021-09-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 24799
Loan Approval Amount (current) 24799
Undisbursed Amount 0
Franchise Name -
Lender Location ID 15940
Servicing Lender Name Webster Bank National Association
Servicing Lender Address 137 Bank St, WATERBURY, CT, 06702-2205
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address KINGSTON, WASHINGTON, RI, 02881-0001
Project Congressional District RI-02
Number of Employees 3
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 15940
Originating Lender Name Webster Bank National Association
Originating Lender Address WATERBURY, CT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 25074.17
Forgiveness Paid Date 2021-08-18

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State