| Name: | I for an Eye, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Oct 2017 (7 years ago) |
| Identification Number: | 001677853 |
| ZIP code: | 02909 |
| County: | Providence County |
| Principal Address: | 354 BROADWAY, PROVIDENCE, RI, 02909, USA |
| Purpose: | EYE EXAMS AND EYE CARE TO PATIENTS |
| NAICS: | 621320 - Offices of Optometrists |
| Fictitious names: |
The Eye Center of RI (trading name, 2024-10-08 - ) Envisions Eyecare (trading name, 2021-10-20 - ) DeCesare Eye Associates (trading name, 2017-10-12 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376054445 | 2017-10-17 | 2021-10-20 | 363 HAWKINS ST, PROVIDENCE, RI, 029042306, US | 354 BROADWAY, PROVIDENCE, RI, 029091434, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 508-837-3708 |
| Phone | +1 401-331-4475 |
| Fax | 4012735742 |
Authorized person
| Name | CASSANDRA OLIVEIRA |
| Role | OPTOMETRIST |
| Phone | 5088373708 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | ODTG00650 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | U300416104 |
| Issuer | MEDICAID |
| Number | 1538685938 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CASSANDRA OLIVEIRA | Agent | 363 HAWKINS STREET, PROVIDENCE, RI, 02904, USA |
| Number | Name | File Date |
|---|---|---|
| 202460525950 | Fictitious Business Name Statement | 2024-10-08 |
| 202459209340 | Annual Report | 2024-09-04 |
| 202456320110 | Revocation Notice For Failure to File An Annual Report | 2024-06-18 |
| 202339331110 | Annual Report | 2023-07-10 |
| 202337183360 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202222771520 | Annual Report | 2022-09-13 |
| 202219077240 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202104343470 | Annual Report | 2021-10-31 |
| 202103585880 | Fictitious Business Name Statement | 2021-10-20 |
| 202077891220 | Annual Report | 2020-11-30 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
