Charles Milton Statton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1511AT Issued in OR

Practice address

195 N Adair St
Cornelius, OR 97113-8402

Phone

(503) 357-4482

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific University

  • Adult Mental Health Clinic/Center
  • Hillsboro, OR
  • NPI 1700256989
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427048784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44750 NW STAR ST",
            "city": "BANKS",
            "state": "OR",
            "postal_code": "971068865",
            "telephone_number": "503-324-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N ADAIR ST",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971138402",
            "telephone_number": "503-357-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATTON",
        "first_name": "CHARLES",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1511AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kathleen Sims, PHARM D
• Angela Michelle Smorra, DMD
• Vanessa Sotelo Lopez, RDH
• Rosemary A. Sotta, DMD
• Brooke Nicole Spotts, CNA
• Miranda Patricia Steinkopf, PHARMD
• Stephen John Stuehling, D.M.D.
• Sunset Vision Center
• Synergy Eye, LLC
• Rebecca Christine Thomas

• Optometrist in Cornelius, OR
• Providers in Cornelius, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.