Individual provider Active NPI

Sarah C. Statsick, OD

  • Optometrist
  • Goldsboro, NC
National Provider Identifier
1598557944
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2895 Issued in NC
Practice address
2803 Cashwell Dr Ste a
Goldsboro, NC 27534-4379
Phone
(919) 778-2015
Fax
(919) 778-4808
NPI assigned
May 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2895 NC Primary

Addresses

Primary practice location

2803 Cashwell Dr Ste a
Goldsboro, NC 27534-4379

Mailing address

141 Shoreline Dr
Princeton, NC 27569-9230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008002561 NC Practitioner - Optometry 9638676315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Eye Optometric Services, P.a..Group PAC ID 1759691710, 4 clinicians

Practice addresses (Care Compare)

2803 Cashwell Dr
Goldsboro, NC 27534-4301
Phone (919) 778-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Eye Optometric Services, P.a. Optometrist CurrentSince Sep 9, 2025 Accepting new patients
Eyestat Optometric Services, P.a. Optometrist PastSince May 25, 2025 Accepting new patients
T Gibson Blackman Optometrist PastSince Sep 14, 2025 Accepting new patients

Locations

2803 Cashwell Dr
Ste A
Goldsboro, NC 27534
Phone (919) 778-2015

2803 Cashwell Dr
Goldsboro, NC 27534
Phone (919) 778-2015

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1598557944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SHORELINE DR",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275699230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 CASHWELL DR STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344379",
            "telephone_number": "919-778-2015",
            "fax_number": "919-778-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATSICK",
        "first_name": "SARAH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.