ATLANTIC EYE OPTOMETRIC SERVICES, P.A.
NPI 1710353479
Optometrist in Goldsboro, NC
About Atlantic Eye Optometric Services, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTIC EYE OPTOMETRIC SERVICES, P.A. (NPI 1710353479) is a healthcare organization registered as an optometrist in Goldsboro, North Carolina and active in the NPI registry since August 2015. The organization lists Kenneth Richard Statsick, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Atlantic Eye Optometric Services, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Atlantic Eye Optometric Services, P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Goldsboro, NC 27534
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Atlantic Eye Optometric Services, P.A.'s NPI number?
The NPI number for Atlantic Eye Optometric Services, P.A. is 1710353479. It was assigned to this organization in the NPPES registry on August 18, 2015.
Where is Atlantic Eye Optometric Services, P.A. located?
Atlantic Eye Optometric Services, P.A. is located at 2803 Cashwell Dr Ste A, Goldsboro, NC 27534. The listed phone number is (919) 778-2015.
What is Atlantic Eye Optometric Services, P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Atlantic Eye Optometric Services, P.A. enrolled in Medicare?
Yes. Atlantic Eye Optometric Services, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlantic Eye Optometric Services, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Atlantic Eye Optometric Services, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Atlantic Eye Optometric Services, P.A. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 5 other insurers list Atlantic Eye Optometric Services, P.A. 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 Atlantic Eye Optometric Services, P.A. was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Atlantic Eye Optometric Services, P.a. · NPI 1710353479
Optometrist organization in Goldsboro, North Carolina. Organization record, active in the CMS NPPES registry since August 18, 2015.
## Identity
- **NPI:** 1710353479 (Entity type: Organization)
- **Enumerated:** August 18, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Statsick, OPTOMETRIST
## Practice location
- **Address:** 2803 CASHWELL DR STE A, Goldsboro, NC 27534-4301
- **Phone:** (919) 778-2015 · **Fax:** (919) 778-4808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710353479) · Data from the CMS NPPES public registry.