| Organization Name: | STATTON OPTICAL |
| NPI Number: | 1679921720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN A STATTON (OPTICIAN) |
| Mailing Address: | 4645 Normal Blvd Ste 132 Lincoln |
| State: | NE US |
| Postal Code: | 685065823 |
| Phone Number: | 4024864828 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2016 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | ABOC 081991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |