NPIMap

Organization Active NPI

Star Optometry Ga LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1003792938
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STAR OPTOMETRY GA LLC
Practice address
870 Inman Village Pkwy NE Ste 3
Atlanta, GA 30307-5523
Phone
(678) 648-5185
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christa Williams
Title
Director, Revenue Cycle Management
Phone
(904) 312-2295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

870 Inman Village Pkwy NE Ste 3
Atlanta, GA 30307-5523

Mailing address

7501 Paragon Rd Ste 201
Dayton, OH 45459-5323

National Provider Directory

National Provider Directory
Tax ID family
Star Optometry Ga LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5851 S Vickery
Cumming, GA 30040
Phone (678) 648-5185

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1003792938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 PARAGON RD STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454595323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 INMAN VILLAGE PKWY NE STE 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303075523",
            "telephone_number": "678-648-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR OPTOMETRY GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "904-312-2295"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.