IndividualActive
Charles Statton, O.D.
NPI 1427048784 · Optometrist · Cornelius, OR
Provider details
- NPI number
- 1427048784
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1511AT (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
195 N Adair St
Cornelius, OR 97113-8402
Phone: (503) 357-4482
Approximate (ZIP-level) locationGet directions
Mailing address
44750 Nw Star St
Banks, OR 97106-8865
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.