NPIMap

Organization Active NPI

Star Optometry Ga LLC

  • Optometrist
  • Roswell, GA
National Provider Identifier
1023973708
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STAR OPTOMETRY GA LLC
Practice address
910 Holcomb Bridge Rd Ste 100
Roswell, GA 30076-1981
Phone
(770) 992-6789
NPI assigned
Dec 16, 2025
Organization subpart
Yes
Parent organization
STAR OPTOMETRY GA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Kelley Kott
Title
RCM Manager
Phone
(256) 795-2559

Specialties & licenses 1

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

Addresses

Primary practice location

910 Holcomb Bridge Rd Ste 100
Roswell, GA 30076-1981

Mailing address

110 College St Ste E
Athens, AL 35611-2714
Phone (256) 233-2393

Other names 1

  • InFocus Eyecare Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1023973708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST STE E",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714",
            "telephone_number": "256-233-2393",
            "fax_number": "256-233-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HOLCOMB BRIDGE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761981",
            "telephone_number": "770-992-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR OPTOMETRY GA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR OPTOMETRY GA LLC",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "KOTT",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "256-795-2559"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InFocus Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.