| Name: | Sampalis EyeCare P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Dec 2012 (12 years ago) |
| Identification Number: | 000794989 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 1013 RESERVOIR AVENUE, CRANSTON, RI, 02910, USA |
| Purpose: | EYE CARE SERVICES |
| Fictitious names: |
Dry Eye Center of RI (trading name, 2022-10-18 - ) MS Vision (trading name, 2022-10-18 - ) Cranston Eye Associates, Inc. (trading name, 2020-09-03 - ) |
NAICS
339112 Surgical and Medical Instrument ManufacturingThis U.S. industry comprises establishments primarily engaged in manufacturing medical, surgical, ophthalmic, and veterinary instruments and apparatus (except electrotherapeutic, electromedical and irradiation apparatus). Examples of products made by these establishments are syringes, hypodermic needles, anesthesia apparatus, blood transfusion equipment, catheters, surgical clamps, and medical thermometers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497016661 | 2012-06-05 | 2013-05-02 | 24 SCARALIA RD, CRANSTON, RI, 02921, US | 650 BALD HILL RD, WARWICK, RI, 028861863, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-241-9188 |
| Fax | 4018284240 |
| Phone | +1 401-822-2050 |
| Fax | 4018222050 |
Authorized person
| Name | DR. MARIA P SAMPALIS |
| Role | DR |
| Phone | 4012419188 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | MA4629 |
| State | MA |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110079003A |
| State | MA |
| Issuer | MEDICAID |
| Number | MS90656 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JAY N. ROSENSTEIN | Agent | 30 CHAPEL VIEW BLVD. SUITE 220, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| MARIA SAMPALIS | PRESIDENT | 1013 RESERVOIR AVENUE CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 202452950320 | Annual Report | 2024-04-29 |
| 202328683880 | Annual Report | 2023-02-14 |
| 202224170510 | Fictitious Business Name Statement | 2022-10-18 |
| 202224170240 | Fictitious Business Name Statement | 2022-10-18 |
| 202213160010 | Annual Report | 2022-03-16 |
| 202189073170 | Annual Report | 2021-01-28 |
| 202067806100 | Statement of Change of Registered Office by the Registered Agent | 2020-10-23 |
| 202051873570 | Fictitious Business Name Statement | 2020-09-03 |
| 202033143820 | Annual Report | 2020-01-21 |
| 201984454140 | Annual Report | 2019-01-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8338507006 | 2020-04-08 | 0165 | PPP | 800 OAKLAWN AVE, CRANSTON, RI, 02920-2822 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
