NPIMap

Organization Active NPI

Star Medical FL PLLC

  • Optometrist
  • Orlando, FL
National Provider Identifier
1235009390
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STAR MEDICAL FL PLLC
Practice address
12715 Pegasus Dr
Orlando, FL 32816-8030
Phone
(407) 758-5735
NPI assigned
Nov 5, 2025
Organization subpart
Yes
Parent organization
STAR MEDICAL FL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Kelley Kott
Title
Billing and Credentialing
Phone
(256) 795-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

12715 Pegasus Dr
Orlando, FL 32816-8030

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 Medical FL PLLC13 organizations share this tax ID, including this one
Part of
Star Medical FL PLLC

Other organizations with this tax ID 12

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": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1235009390",
    "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": "12715 PEGASUS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168030",
            "telephone_number": "407-758-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL FL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR MEDICAL FL PLLC",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "KOTT",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING",
        "authorized_official_telephone_number": "256-795-2559"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-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 Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.