Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Srisatayasunton, OD

Individual provider Optometrist · NPI 1265784508

Dr. Charles Srisatayasunton, OD is an Optometrist in Kent, Washington. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

19400 108th Ave SE Ste 202
Kent, WA 98031-0108
Phone: (253) 852-2120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3641ATI (OR)
Optometrist Taxonomy 152W00000X · Licence OD60658151 (WA)

Record details

NPI number1265784508
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 10, 2012
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021

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