| Name: | Dr. DeGiulio & Associates Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Oct 2019 (5 years ago) |
| Identification Number: | 001701324 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 13 CAPRI DRIVE, JOHNSTON, RI, 02919, USA |
| Purpose: | OPTOMETRIST SERVICE, PERFORM EYE EXAMINATIONS,SALE OF EYE WEAR AND ANY OTHER PURPOSE PERMITTED BY LAW |
| NAICS: | 621320 - Offices of Optometrists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316581424 | 2019-10-31 | 2019-12-02 | 13 CAPRI DR, JOHNSTON, RI, 029193328, US | 400 BALD HILL ROAD STE 163, WARWICK MALL, WARWICK, RI, 02886, US | |||||||||||||||||||||
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| Phone | +1 401-474-4963 |
| Phone | +1 401-738-9866 |
Authorized person
| Name | DR. LISA DEGIULIO |
| Role | OWNER |
| Phone | 4014744963 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9007169 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR DEGIULIO & ASSOCIATES INC. 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 843512057 | 2024-07-29 | DR DEGIULIO & ASSOCIATES | 18 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-29 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4014744963 |
| Plan sponsor’s address | 400 BALD HILL ROAD, SUITE 163, WARWICK, RI, 02886 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-19 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4014744963 |
| Plan sponsor’s address | 400 BALD HILL ROAD, SUITE 163, WARWICK, RI, 02886 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-28 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FRANK SCIACCA, ESQ. | Agent | 1312 ATWOOD AVENUE, JOHNSTON, RI, 02919, USA |
| Name | Role | Address |
|---|---|---|
| LISA A. DEGIULIO | PRESIDENT | 13 CAPRI DRIVE JOHNSTON, RI 02919 USA |
| Number | Name | File Date |
|---|---|---|
| 202343310820 | Annual Report | 2023-12-12 |
| 202328043530 | Annual Report | 2023-02-09 |
| 202328043710 | Certificate of Correction | 2023-02-09 |
| 202328044050 | Annual Report | 2023-02-09 |
| 202328043350 | Reinstatement | 2023-02-09 |
| 202223965810 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
| 202220237910 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202100503490 | Annual Report | 2021-08-30 |
| 202100503760 | Annual Report | 2021-08-30 |
| 202100502600 | Reinstatement | 2021-08-30 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
