Individual provider Active NPI

Lindsay Schafer Statsick, OD

  • Optometrist
  • Goldsboro, NC
National Provider Identifier
1669780862
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2211 Issued in NC
Practice address
Atlantic Eye Optometric Services, PA
2803 Cashwell Dr Suite a
Goldsboro, NC 27534-4301
Phone
(919) 778-2015
Fax
(919) 778-4808
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2211 NC Primary

Addresses

Primary practice location

Atlantic Eye Optometric Services, PA
2803 Cashwell Dr Suite a
Goldsboro, NC 27534-4301

Mailing address

Atlantic Eye Optometric Services, PA
2803 Cashwell Dr Suite a
Goldsboro, NC 27534-4301
Phone (919) 778-2015

Other names 1

  • Ms. Lindsay Rachel Schafer Former name

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
I20120321000362 NC Practitioner - Optometry 4981864436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2211NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
T Gibson Blackman Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1669780862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATLANTIC EYE OPTOMETRIC SERVICES, PA",
            "address_2": "2803 CASHWELL DR SUITE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344301",
            "telephone_number": "919-778-2015",
            "fax_number": "919-778-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATLANTIC EYE OPTOMETRIC SERVICES, PA",
            "address_2": "2803 CASHWELL DR SUITE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344301",
            "telephone_number": "919-778-2015",
            "fax_number": "919-778-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATSICK",
        "first_name": "LINDSAY",
        "middle_name": "SCHAFER",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "SCHAFER",
            "middle_name": "RACHEL",
            "prefix": "MS.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.