Dr. Kenneth Richard Statsick is a Goldsboro, North Carolina based male Optometrist with 14 years of experience in Optometry. He completed his graduation from Nova Southeastern Univ College Of Dental Medicine in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kenneth Richard Statsick is 2303 for Optometry in North Carolina. Dr. Kenneth Richard Statsick examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Kenneth Richard Statsick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
14+ years
Medical School Attended:
Nova Southeastern Univ College Of Dental Medicine
Graduation Year:
2010
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2803 Cashwell Dr, Ste A, Goldsboro, North Carolina, 27534-4301
Phone:
919-778-2015
Fax:
919-778-4808
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0547386492
Enrollment ID:
I20130715000560
NPI Number:
1407162043
NPI Enumeration Date:
20 Aug, 2010
NPI Last Update On:
18 Oct, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Richard Statsick are as mentioned below.
License Number
Specialization
State
Status
2303
Optometry
North Carolina
Primary
OPC 4549
Optometry
Florida
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kenneth Richard Statsick has association with along with the number of members in that group.
Other legacy medical identifiers associated with Dr. Kenneth Richard Statsick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
C374
Other
North Carolina
MEDICARE PTAN
12143984
Other
North Carolina
CAQH
5922830
Other
North Carolina
MEDICAID PIN
5922830
Other
North Carolina
MEDICAID PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2803 Cashwell Dr, Ste A Goldsboro, North Carolina
Zip:
27534-4301
Phone Number:
919-778-2015
Fax Number:
919-778-4808
Patients can reach Dr. Kenneth Richard Statsick at 2803 Cashwell Dr, Ste A, Goldsboro, North Carolina or can call to book an appointment on 919-778-2015. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.