| Entity Name: | NORWICH OPHTHALMOLOGY OPTICAL, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 17 Nov 1999 |
| Business ALEI: | 0635354 |
| Annual report due: | 17 Nov 2024 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 79 WAWECUS STREET SUITE 105, NORWICH, CT, 06360, United States |
| Mailing address: | 79 WAWECUS ST SUITE 105, NORWICH, CT, United States, 06360 |
| ZIP code: | 06360 |
| County: | New London |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 20000 |
| E-Mail: | doreen@norwichlasik.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| Doreen Champagne | Agent | 79 WAWECUS STREET SUITE 105, NORWICH, CT, 06360, United States | 50 Old Putnam Rd. Ext., Danielson, CT, 06239, United States | +1 860-377-1956 | doreen@norwichlasik.com | 50 Old Putnam Rd. Ext., Danielson, CT, 06239, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| KINNERI KOTHARI M.D. | Officer | 79 WAWECUS ST SUITE 105, NORWICH, CT, 06360, United States | 11 DARROWS RIDGE, EAST LYME, CT, 06333, United States |
| PETER S. MCKAY M.D. | Officer | 79 WAWECUS STREET SUITE 105, NORWICH, CT, 06360, United States | 303 MILLSTONE RD, WATERFORD, CT, 06385, United States |
| ANISH U. SHAH M.D | Officer | 79 WAWECUS STREET SUITE 105, NORWICH, CT, 06360, United States | 767 RIVER RD, MYSTIC, CT, 06355, United States |
| RON SLOCUMB | Officer | 79 WAWECUS STREET, NORWICH, CT, 06360, United States | 26 LAMBS WAY, STONINGTON, CT, 06378, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| OSP.001624 | Optical Selling Permit | ACTIVE | CURRENT | 2000-12-01 | 2024-09-01 | 2025-08-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011158958 | 2023-10-19 | No data | Annual Report | Annual Report | No data |
| BF-0010339047 | 2022-11-02 | No data | Annual Report | Annual Report | 2022 |
| BF-0009822830 | 2021-10-18 | No data | Annual Report | Annual Report | No data |
| 0007308695 | 2021-04-26 | No data | Annual Report | Annual Report | 2019 |
| 0007308709 | 2021-04-26 | No data | Annual Report | Annual Report | 2020 |
| 0006263288 | 2018-10-23 | No data | Annual Report | Annual Report | 2018 |
| 0005952429 | 2017-10-24 | No data | Annual Report | Annual Report | 2017 |
| 0005941759 | 2017-10-05 | No data | Annual Report | Annual Report | 2014 |
| 0005941766 | 2017-10-05 | No data | Annual Report | Annual Report | 2016 |
| 0005941763 | 2017-10-05 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
