EYESTAT OPTOMETRIC SERVICES, P.A. (NPI# 1093158404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093158404 |
| Entity Type | Organization |
| Organization Name | EYESTAT OPTOMETRIC SERVICES, P.A. |
| Practice Address |
720 Pondfield Rd Princeton NC 27569 |
| Practice Telephone | 8133854738 |
| Mailing Telephone | 8133854738 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | MR. KENNETH RICHARD STATSICK (OWNER) |
| Authorized Official Telephone | 8133854738 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2303 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1407162043 | 01 |
| Street Address |
720 PONDFIELD RD |
| City | PRINCETON |
| State | NC |
| Zip Code | 27569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518695 | Rayfield Dave Harper | Technician | 410 W 3rd St Apt #4, Princeton, NC 27569 | 2019-09-20 |
| 1093142242 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 927 School Shepard Road, Zebulon, NC 27569 | 2013-10-02 |
| 1407080229 | Valeria Malone Jones | Specialist | 116 S. Center St., Princeton, NC 27569 | 2009-05-07 |
| 1215022322 | Robert L Williamson IIi Dds Pa | Dentist | 104 Center Street, Princeton, NC 27569 | 2006-10-04 |
| 1306859715 | Reyna Lee Faris | Dental Hygienist | 104 Center St, Princeton, NC 27569 | 2006-08-15 |
| 1639112733 | Princeton Rescue Squad | Ambulance | 501 West Us 70 Bus, Princeton, NC 27569 | 2006-06-14 |
| 1538402342 | Wal-mart Stores East Lp | Pharmacy | 509 Doctor Donnie H Jones Jr Blvd W, Princeton, NC 27569-6820 | 2013-03-29 |
| 1346374303 | Joseph Edward Finley Jr. | Speech-Language Pathologist | 105 Bridge Dr, Princeton, NC 27569-7073 | 2007-03-14 |
| 1396707592 | Kira Leith Vurlicer | Family Medicine | 213 Barden St, Princeton, NC 27569-7206 | 2006-04-04 |
| 1427426683 | Horizon Family Medicine | Clinic/Center | 213 Barden St, Princeton, NC 27569-7206 | 2015-09-04 |
| Find all providers in zip 27569 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083270359 | Spencer Lin | Optometrist | 3535 Us Highway 1 Ste 416, Princeton, NJ 08540-5974 | 2019-05-13 |
| 1790271211 | Misty Lane | Optometrist | 324 Oakvale Rd Ste 100, Princeton, WV 24740-3829 | 2018-07-09 |
| 1245682608 | Kenneth Cole | Optometrist | 310 Locust St # 6, Princeton, WV 24740-3625 | 2016-07-11 |
| 1144675760 | Deseye, LLC | Optometrist | 701 West Princeton Dr, Princeton, TX 75407 | 2016-05-02 |
| 1548551336 | Appalachian Eye Care Inc | Optometrist | 324 Oakvale Rd, Suite 100, Princeton, WV 24740-3915 | 2011-04-27 |
| 1023279742 | Princeton Eye Center | Optometrist | 2024 Sherman Dr, Princeton, IN 47670-1045 | 2008-06-25 |
| 1578756631 | Appalachian Eye Care | Optometrist | 700 Oakvale Rd, Princeton, WV 24740-3915 | 2007-08-22 |
| 1992925176 | Berlin Family Eye Care Sc | Optometrist | 100b E. Main St, Princeton, WI 54968 | 2007-04-27 |
| 1770623548 | Harin Rajeev | Optometrist | 3535 Route 1 S, Suite 416, Princeton, NJ 08540-5903 | 2007-02-08 |
| 1174688725 | Glenn Orville Kallevig | Optometrist | 101 S Rum River Dr, Princeton, MN 55371-1815 | 2006-12-26 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.