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

Dr. Kenneth Richard Statsick, OD

Individual provider Optometrist · NPI 1407162043

Dr. Kenneth Richard Statsick, OD is an Optometry in Goldsboro, North Carolina. Graduated from Nova Southeastern Univ College of Dental Medicine in 2010, 16 years ago. Practices with Atlantic Eye Optometric Services, PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
16
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
FL, NC
In the registry since
2010
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

2803 Cashwell Dr Ste A
Goldsboro, NC 27534-4301
Phone: (919) 778-2015
Fax: (919) 778-4808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2303 (NC)
Optometrist Taxonomy 152W00000X · Licence OPC 4549 (FL)

Record details

NPI number1407162043
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 20, 2010
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2010 (16 years in practice)
Group practice Atlantic Eye Optometric Services, P.A.. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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