| 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 (8 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 |
| 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 - ) |
NAICS
621320 Offices of OptometristsThis industry comprises establishments of health practitioners having the degree of O.D. (Doctor of Optometry) primarily engaged in the independent practice of optometry. These practitioners examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions. Offices of optometrists prescribe and/or provide eyeglasses, contact lenses, low vision aids, and vision therapy. They operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers, and may also provide the same services as opticians, such as selling and fitting prescription eyeglasses and contact lenses. Learn more at the U.S. Census Bureau
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7431818306 | 2021-01-28 | 0165 | PPS | 354 Broadway, Providence, RI, 02909-1434 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9230097202 | 2020-04-28 | 0165 | PPP | 354 BROADWAY, PROVIDENCE, RI, 02909 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
