| Name: | Modern Eyes, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 18 Mar 2018 (7 years ago) |
| Identification Number: | 001682537 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 1970 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | EYE DOCTORS OFFICE |
| NAICS: | 621320 - Offices of Optometrists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265938179 | 2018-04-01 | 2018-08-23 | 145 NEWPORT AVE, PAWTUCKET, RI, 028614107, US | 145 NEWPORT AVE, PAWTUCKET, RI, 02861, US | |||||||||||||||||||||||||||
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| Phone | +1 401-729-0200 |
| Fax | 4017290222 |
| Phone | +1 401-524-4025 |
Authorized person
| Name | VINCENZO L GIANFRANCESCO |
| Role | OPTOMETRIST |
| Phone | 4017290200 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | ODTG00620 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1447633060 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| KELLIE C. MCMAHON | Agent | 1970 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202454691780 | Annual Report | 2024-05-21 |
| 202335800250 | Annual Report | 2023-05-18 |
| 202214509520 | Annual Report | 2022-04-12 |
| 202105365390 | Annual Report | 2021-11-26 |
| 202074525470 | Annual Report | 2020-11-12 |
| 202074524950 | Statement of Change of Registered/Resident Agent Office | 2020-11-12 |
| 201928195470 | Annual Report | 2019-11-25 |
| 201860487860 | Articles of Organization | 2018-03-18 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
