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Southern New England Retina Associates PC

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Company Details

Name: Southern New England Retina Associates PC
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 13 Dec 2005 (20 years ago)
Date of Dissolution: 31 Dec 2015 (10 years ago)
Date of Status Change: 31 Dec 2015 (10 years ago)
Identification Number: 000152156
ZIP code: 02906
City: Providence
County: Providence County
Purpose: MEDICAL PRACTICE
Historical names: Retina Associates of Southeastern New England, Inc.
Retina Associates of Southern New England PC
Principal Address: Google Maps Logo ONE RANDALL SQUARE UNIT 203, PROVIDENCE, RI, 02906, USA

Agent

Name Role Address
ADLER POLLOCK & SHEEHAN P.C. Agent ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
MAGDALENA G KRZYSTOLIK MD PRESIDENT 386 WAYLAND AVENUE PROVIDENCE, RI 02906 USA

TREASURER

Name Role Address
MAGDALENA G KRZYSTOLIK MD TREASURER 386 WAYLAND AVENUE PROVIDENCE, RI 02906 USA

SECRETARY

Name Role Address
MAGDALENA G KRZYSTOLIK MD SECRETARY 386 WAYLAND AVENUE PROVIDENCE, RI 02906 USA

National Provider Identifier

NPI Number:
1548228794

Authorized Person:

Name:
DR. MAGDALENA G KRZYSTOLIK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
4014530077

Form 5500 Series

Employer Identification Number (EIN):
203935214
Plan Year:
2015
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
7
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Name Change 2006-01-13 Retina Associates of Southern New England PC Southern New England Retina Associates PC
Name Change 2005-12-15 Retina Associates of Southeastern New England, Inc. Retina Associates of Southern New England PC

Filings

Number Name File Date
201589503270 Articles of Dissolution 2015-12-21
201555898090 Annual Report 2015-02-27
201433615830 Annual Report 2014-01-17
201310408720 Annual Report 2013-01-28
201289757090 Annual Report 2012-02-17

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Date of last update: 29 Jun 2025

Sources: Rhode Island Department of State