Staar Labs
Organization Active NPI Primary Care Clinic/Center · Athens, TN
NPI 1447017447 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1447017447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- STAAR LABS
- Practice address
- 179 County Road 704
Athens, TN 37303-6011 - Phone
- (305) 975-9320
- NPI assigned
- Mar 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Victor Poteet
- Title
- Ceo
- Phone
- (305) 204-2147
Practitioners 1
-
Victor Ashley Poteet, PHARM.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
179 County Road 704
Athens, TN 37303-6011
Mailing address
179 County Road 704
Athens, TN 37303-6011
Phone (305) 975-9320
Other names
- STAAR HEALTH
NPI Registry JSON
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1447017447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 COUNTY ROAD 704",
"city": "ATHENS",
"state": "TN",
"postal_code": "373036011",
"telephone_number": "305-975-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 COUNTY ROAD 704",
"city": "ATHENS",
"state": "TN",
"postal_code": "373036011",
"telephone_number": "305-975-9320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAAR LABS",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "POTEET",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-204-2147"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "STAAR HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.