| Name: | SUSANA CHAN, OD, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 19 Oct 2022 (2 years ago) |
| Identification Number: | 001747489 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 387 WATERMAN AVE, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | OPTOMETRY |
| NAICS: | 621320 - Offices of Optometrists |
| Fictitious names: |
ClearView EyeCare (trading name, 2022-11-15 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376235069 | 2023-05-22 | 2023-05-22 | 9 MEADOWBROOK DR, BARRINGTON, RI, 028063707, US | 387 WATERMAN AVE, EAST PROVIDENCE, RI, 029142618, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 401-453-5800 |
| Fax | 4012716867 |
Authorized person
| Name | DR. SUSANA CHAN |
| Role | OPTOMETRIST |
| Phone | 4014535800 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUSANA CHAN | Agent | 9 MEADOWBROOK DRIVE, BARRINGTON, RI, 02806, USA |
| Name | Role | Address |
|---|---|---|
| SUSANA CHAN | INCORPORATOR | 9 MEADOWBROOK DRIVE BARRINGTON, RI 02806 USA |
| Number | Name | File Date |
|---|---|---|
| 202446271280 | Annual Report | 2024-02-13 |
| 202332166700 | Annual Report | 2023-04-01 |
| 202224715720 | Fictitious Business Name Statement | 2022-11-15 |
| 202224186700 | Articles of Incorporation | 2022-10-19 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
