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  5. Duquette Family Eye Care, Inc.

Duquette Family Eye Care, Inc.

Company Details

Name: Duquette Family Eye Care, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 16 Nov 2009 (15 years ago)
Identification Number: 000518784
ZIP code: 02896
County: Providence County
Principal Address: 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896, USA
Purpose: OPTOMETRY
NAICS: 621320 - Offices of Optometrists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336471747 2010-02-10 2021-05-11 621 POUND HILL ROAD, SUITE 104, NORTH SMITHFIELD, RI, 028962006, US 621 POUND HILL RD, SUITE 104, NORTH SMITHFIELD, RI, 028969358, US

Contacts
Phone +1 401-769-6323
Fax 4017699202

Authorized person
Name DR. LORI ANN DUQUETTE
Role PRESIDENT
Phone 4017696323

Taxonomy
Taxonomy Code 152W00000X - Optometrist
License Number ODTG00516
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number DU79122
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DUQUETTE FAMILY EYE CARE 401(K) PLAN 2023 271202198 2024-05-08 DUQUETTE FAMILY EYE CARE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD, SUITE 104, NORTH SMITHFIELD, RI, 02896

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE 401(K) PLAN 2022 271202198 2023-06-01 DUQUETTE FAMILY EYE CARE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD, SUITE 104, NORTH SMITHFIELD, RI, 02896

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 271202198 2022-05-10 DUQUETTE FAMILY EYE CARE INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896

Signature of
Role Plan administrator
Date 2022-05-10
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 271202198 2021-03-31 DUQUETTE FAMILY EYE CARE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 271202198 2020-04-10 DUQUETTE FAMILY EYE CARE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896

Signature of
Role Plan administrator
Date 2020-04-10
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2018 271202198 2019-05-20 DUQUETTE FAMILY EYE CARE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896

Signature of
Role Plan administrator
Date 2019-05-20
Name of individual signing LORI A DUQUETTE
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2017 271202198 2018-03-29 DUQUETTE FAMILY EYE CARE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896

Signature of
Role Plan administrator
Date 2018-03-29
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2016 271202198 2017-05-11 DUQUETTE FAMILY EYE CARE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896

Signature of
Role Plan administrator
Date 2017-05-11
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2015 271202198 2016-05-13 DUQUETTE FAMILY EYE CARE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896

Signature of
Role Plan administrator
Date 2016-05-13
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
DUQUETTE FAMILY EYE CARE INC 401 K PROFIT SHARING PLAN TRUST 2014 271202198 2015-05-07 DUQUETTE FAMILY EYE CARE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 621 POUND HILL ROAD SUITE 104, NORTH SMITHFIELD, RI, 02896

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/14/20130614154042P030253171731001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 283 POND ST, WOONSOCKET, RI, 02895

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/14/20120814085508P030029766210001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621320
Plan sponsor’s address 283 POND STREET, WOONSOCKET, RI, 02895

Plan administrator’s name and address
Administrator’s EIN 271202198
Plan administrator’s name DUQUETTE FAMILY EYE CARE INC
Plan administrator’s address 283 POND STREET, WOONSOCKET, RI, 02895

Signature of
Role Plan administrator
Date 2012-08-14
Name of individual signing LINDA DUQUETTE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/23/20110523101237P040011110566001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 4017696323
Plan sponsor’s address 283 POND STREET, WOONSOCKET, RI, 02895

Plan administrator’s name and address
Administrator’s EIN 271202198
Plan administrator’s name DUQUETTE FAMILY EYE CARE INC
Plan administrator’s address 283 POND STREET, WOONSOCKET, RI, 02895
Administrator’s telephone number 4017696323

Signature of
Role Plan administrator
Date 2011-05-23
Name of individual signing DUQUETTE FAMILY EYE CARE INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LORI A. DUQUETTE, OD Agent 29 AUSTIN AVENUE, GREENVILLE, RI, 02828, USA

PRESIDENT

Name Role Address
LORI A DUQUETTE PRESIDENT 621 POUND HILL ROAD STE 104 NORTH SMITHFIELD, RI 02896 UNI

Filings

Number Name File Date
202444506410 Annual Report 2024-01-23
202326179330 Annual Report 2023-01-19
202217800200 Annual Report 2022-05-25
202184391350 Annual Report 2021-01-05
202035030290 Statement of Change of Registered Office by the Registered Agent 2020-02-24
202034673100 Miscellaneous Filing (No Fee) 2020-02-19
202032526570 Annual Report 2020-01-17
202031691620 Revocation Notice For Failure to Maintain a Registered Office 2020-01-10
202031284570 Registered Office Not Maintained 2019-12-24
201984086710 Annual Report 2019-01-10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 14 Oct 2024

Sources: Rhode Island Department of State

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