Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kenneth Richard Statsick, O.D.

Optometrist in Goldsboro, NC · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407162043

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Registry record

Entity type Individual (Type 1)

Name Dr. Kenneth Richard Statsick

Credential O.D.

Sex Male

Practice address Goldsboro, NC, 27534

Phone (919) 778-2015

Fax (919) 778-4808

Enumeration date Aug 20, 2010

Last updated in NPPES Jul 16, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License OPC 4549 (FL) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License 2303 (NC) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
C374	Other	NC	MEDICARE PTAN
12143984	Other	NC	CAQH
5922830	Other	NC	MEDICAID PIN
5922830	Other	NC	MEDICAID PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1407162043 active?

Yes, as of the latest NPPES snapshot, NPI 1407162043 is active (record last updated 2025-07-16).

How do I verify Kenneth Statsick's NPI record?

Cross-check NPI 1407162043 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-16.