Organization Active NPI

Star Optometry TN, PC

Doing business as InFocus Eyecare

  • Optometrist
  • Ooltewah, TN
National Provider Identifier
1336922764
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STAR OPTOMETRY TN, PC
Doing business as
InFocus Eyecare
Practice address
5243 Little Debbie Pkwy Ste 124
Ooltewah, TN 37363-4514
Phone
(423) 468-3305
NPI assigned
Aug 17, 2023
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Kelley KottNPI 1265831002
Title
RCM Manager
Phone
(256) 795-2559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X

Addresses

Primary practice location

5243 Little Debbie Pkwy Ste 124
Ooltewah, TN 37363-4514

Mailing address

110 College St Ste E1
Athens, AL 35611-2714

Other practice location 1

1822 Huntsville Hwy Ste D
Fayetteville, TN 37334-3788
Phone (931) 433-1370

Other practice location 2

1201 Market St Ste B
Chattanooga, TN 37402-2714
Phone (423) 468-3305

Other names 1

  • InFocus Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240228004554 TN Part B Supplier - Clinic/Group Practice 7618312745 Receives reassigned benefits from 6 practitioners
Practice locations: Chattanooga, TN; Fayetteville, TN; Ooltewah, TN

National Provider Directory

National Provider Directory
Tax ID family
Star Optometry TN PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5243 Little Debbie Pkwy
Ste 124
Ooltewah, TN 37363
Phone (423) 468-3305

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1336922764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST STE E1",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 LITTLE DEBBIE PKWY STE 124",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634514",
            "telephone_number": "423-468-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1822 Huntsville Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373343788",
            "country_code": "US",
            "telephone_number": "931-433-1370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Market St Ste B",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374022714",
            "country_code": "US",
            "telephone_number": "423-468-3305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR OPTOMETRY TN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InFocus Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.