| Name: | FAMILY EYE HEALTH ASSOCIATES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Jul 2008 (17 years ago) |
| Identification Number: | 000482708 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 2374 POST ROAD STE 104, WARWICK, RI, 02886, USA |
| Mailing Address: | 931 JEFFERSON BLVD STE 2004, WARWICK, RI, 02886, USA |
| Purpose: | OPTOMETRY PRACTICE. |
| NAICS: | 621320 - Offices of Optometrists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598911224 | 2008-08-13 | 2008-08-13 | 2374 POST RD STE 104, WARWICK, RI, 028862270, US | 2374 POST RD STE 104, WARWICK, RI, 028862270, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-921-0098 |
| Fax | 4019210073 |
Authorized person
| Name | DR. JOHN CHRISTIAN SELLECHIO |
| Role | MANAGER |
| Phone | 4019210098 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | ODTG00512 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9004075 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHIELD OF RHODE ISLAND |
| Number | 294180 |
| State | RI |
| Issuer | BLUE CHIP OF RHODE ISLAND |
| Number | 410486 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JONATHAN V. KALANDER, ESQ. | Agent | 931 JEFFERSON BOULEVARD SUITE 2004, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| DR. JOHN C SELLECHIO | MANAGER | 2374 POST ROAD, SUITE 4 WARWICK, RI 02886 USA |
| Number | Name | File Date |
|---|---|---|
| 202448482990 | Annual Report | 2024-03-13 |
| 202330137450 | Annual Report | 2023-03-07 |
| 202213434030 | Annual Report | 2022-03-24 |
| 202104836080 | Annual Report | 2021-11-08 |
| 202074606610 | Annual Report | 2020-11-13 |
| 201929354560 | Annual Report - Amended | 2019-12-04 |
| 201926666800 | Annual Report | 2019-11-01 |
| 201880809260 | Annual Report | 2018-11-05 |
| 201750108660 | Annual Report | 2017-09-20 |
| 201609098300 | Annual Report | 2016-09-20 |
Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
