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  5. Vision Care Associates, Ltd.

Vision Care Associates, Ltd.

Company Details

Name: Vision Care Associates, Ltd.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Sep 2006 (18 years ago)
Identification Number: 000158359
ZIP code: 02891
County: Washington County
Principal Address: 45 WELLS STREET SUITE 2020, WESTERLY, RI, 02891, USA
Purpose: OPHTHALMOLOGY SERVICES
NAICS: 621320 - Offices of Optometrists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619068780 2006-09-27 2007-11-01 45 WELLS ST, SUITE 2020, WESTERLY, RI, 028912927, US 45 WELLS ST, SUITE 2020, WESTERLY, RI, 028912927, US

Contacts
Phone +1 401-596-4959
Fax 4015966896

Authorized person
Name DAVID R RIVERA
Role PRESIDENT
Phone 4015964959

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 9005082
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VISION CARE ASSOCIATES LTD PROFIT SHARING 401K PLAN 2023 205482097 2024-07-16 VISION CARE ASSOCIATES LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET SUITE 2020, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2024-07-16
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-16
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2022 205482097 2023-10-08 VISION CARE ASSOCIATES LTD. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2023-10-07
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-07
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2021 205482097 2022-10-06 VISION CARE ASSOCIATES LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-06
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2020 205482097 2021-09-28 VISION CARE ASSOCIATES LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-28
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2019 205482097 2020-07-20 VISION CARE ASSOCIATES LTD. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-20
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2017 205482097 2018-07-27 VISION CARE ASSOCIATES LTD 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing EILEEN RIVERA
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2016 205482097 2017-07-27 VISION CARE ASSOCIATES LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2015 205482097 2016-10-12 VISION CARE ASSOCIATES LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2014 205482097 2015-07-20 VISION CARE ASSOCIATES LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES LTD 401K PLAN 2013 205482097 2014-10-10 VISION CARE ASSOCIATES LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-10
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/30/20130730163600P030417611217001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718155858P030000335797001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 205482097
Plan administrator’s name VISION CARE ASSOCIATES LTD
Plan administrator’s address 45 WELLS STREET, WESTERLY, RI, 02891
Administrator’s telephone number 4015964959

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/21/20110721125904P030458852128001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 205482097
Plan administrator’s name VISION CARE ASSOCIATES LTD
Plan administrator’s address 45 WELLS STREET, WESTERLY, RI, 02891
Administrator’s telephone number 4015964959

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-21
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/02/20100802124029P040135036770001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 4015964959
Plan sponsor’s address 45 WELLS STREET, WESTERLY, RI, 02891

Plan administrator’s name and address
Administrator’s EIN 205482097
Plan administrator’s name VISION CARE ASSOCIATES LTD
Plan administrator’s address 45 WELLS STREET, WESTERLY, RI, 02891
Administrator’s telephone number 4015964959

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-02
Name of individual signing DAVID R. RIVERA, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ORSON AND BRUSINI LTD. Agent 211 QUAKER LANE SUITE 201, WEST WARWICK, RI, 02893, USA

PRESIDENT

Name Role Address
DAVID R RIVERA MD PRESIDENT 45 WELLS STREET SUITE 2020 WESTERLY, RI 02891 USA

Filings

Number Name File Date
202449559510 Annual Report 2024-03-26
202332430090 Annual Report 2023-04-05
202224246260 Statement of Change of Registered Office by the Registered Agent 2022-10-21
202217225580 Annual Report 2022-05-04
202193915770 Annual Report 2021-03-12
202033394240 Annual Report 2020-01-29
201988507040 Annual Report 2019-03-11
201860274000 Annual Report 2018-03-12
201738642900 Annual Report 2017-03-23
201692376750 Annual Report 2016-02-12

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Related by address

No related companies by address

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State

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