DR. CHARLES SRISATAYASUNTON O.D.
NPI 1265784508
Optometrist in Kent, WA

Active since October 10, 2012
19400 108TH AVE SE STE 202, KENT, WA 98031(253) 852-2120 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 5, 2021, Feb 29, 2016 (2 updates tracked since 2016).

About Dr. Charles Srisatayasunton O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES SRISATAYASUNTON O.D. (NPI 1265784508) is an individual optometrist in Kent, Washington, licensed in Oregon (3641ATI) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1265784508
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHARLES SRISATAYASUNTONCredential: O.D.
Location Address19400 108TH AVE SE STE 202Kent, WA 98031-0108
Mailing Address19400 108th Ave Se Ste 202Kent, WA 98031-0108 · (253) 852-2120
Sole ProprietorYes
Enumeration DateOctober 10, 2012
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
NPI 1265784508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OR · 3641ATI Licensed in WA · OD60658151
Definition
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.
19400 108TH AVE SE STE 202, Kent, WA 98031

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
19400 108TH AVE SE STE 202
KENT, WA 98031
Optometrist
19400 108TH AVE SE STE 202
KENT, WA 98031
Optometrist
19400 108TH AVE SE STE 202
KENT, WA 98031
Optometrist
19400 108TH AVE SE STE 202
KENT, WA 98031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Srisatayasunton's NPI number?

The NPI number for Charles Srisatayasunton is 1265784508. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Charles Srisatayasunton located?

Charles Srisatayasunton practices at 19400 108th Ave SE Ste 202, Kent, WA 98031. The listed phone number is (253) 852-2120.

What is Charles Srisatayasunton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Charles Srisatayasunton accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Charles Srisatayasunton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Srisatayasunton was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.