| Name: | Cumberland Hill Eye Care, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 19 Apr 2022 (3 years ago) |
| Date of Dissolution: | 11 Sep 2023 (a year ago) |
| Date of Status Change: | 11 Sep 2023 (a year ago) |
| Identification Number: | 001739142 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 2180 MENDON ROAD SUITE # 21, CUMBERLAND, RI, 02864, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487398087 | 2022-04-21 | 2022-04-21 | 30 BENEDICT RD, WARWICK, RI, 028882802, US | 2180 MENDON RD STE 21, CUMBERLAND, RI, 028643825, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-333-0090 |
Authorized person
| Name | DR. STEPHANIE STURGIS |
| Role | OPTOMETRIST |
| Phone | 8608363459 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1437232246 |
| State | RI |
| Issuer | MEDICAID |
| Number | 1083098156 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DR. STEPHANIE STURGIS | Agent | 2180 MENDON ROAD SUITE # 21, CUMBERLAND, RI, 02864, USA |
| Number | Name | File Date |
|---|---|---|
| 202341226510 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-11 |
| 202337604900 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202215164890 | Articles of Organization | 2022-04-19 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
