Atlantic Eye Optometric Services, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ATLANTIC EYE OPTOMETRIC SERVICES, P.A.

Practice address

2803 Cashwell Dr Ste a
Goldsboro, NC 27534-4301

Phone

(919) 778-2015

Fax

(919) 778-4808

NPI assigned

Aug 18, 2015

Last updated

Jul 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Richard Statsick, O.D.NPI 1407162043

Title

Optometrist

Phone

(813) 385-4738

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Richard Statsick, O.D.

  • Optometrist
  • Goldsboro, NC
  • NPI 1407162043
  Medicare reassignment Care Compare group Authorized official
• Erica Nicole Davis, OD, MPH, FAAO

  • Optometrist
  • Goldsboro, NC
  • NPI 1831439165
  Medicare reassignment Care Compare group NPD
• Sarah C. Statsick, OD

  • Optometrist
  • Goldsboro, NC
  • NPI 1598557944
  Medicare reassignment Care Compare group NPD
• Lindsay Schafer Statsick, OD

  • Optometrist
  • Goldsboro, NC
  • NPI 1669780862
  Medicare reassignment Care Compare group
• Thomas Gibson Blackman, O.D.

  • Optometrist
  • Goldsboro, NC
  • NPI 1932299963
  Medicare reassignment NPD

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1710353479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 CASHWELL DR STE 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": "2803 CASHWELL DR STE A",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344301",
            "telephone_number": "919-778-2015",
            "fax_number": "919-778-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC EYE OPTOMETRIC SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "STATSICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "813-385-4738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2303",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.