NPIMap

Organization Active NPI

Star Optometry Ga LLC

Doing business as InFocus Eyecare

  • Optometrist
  • Cumming, GA
National Provider Identifier
1528944451
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STAR OPTOMETRY GA LLC
Doing business as
InFocus Eyecare
Practice address
5851 S Vickery
Cumming, GA 30040-8793
Phone
(678) 648-5185
NPI assigned
Aug 14, 2025
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 1

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

Addresses

Primary practice location

5851 S Vickery
Cumming, GA 30040-8793

Mailing address

110 College St Ste E1
Athens, AL 35611-2714

Other practice location 1

3130 Mathis Airport Pkwy Ste 308
Suwanee, GA 30024-9132
Phone (770) 574-6090

Other practice location 2

2645 Dallas Hwy SW Ste 100
Marietta, GA 30064-7577
Phone (770) 422-8002

Other practice location 3

4280 E West Connector SE
Smyrna, GA 30082-4804
Phone (770) 435-4457

Other practice location 4

1750 Powder Springs Rd SW Ste 210
Marietta, GA 30064-4848
Phone (770) 436-9123

Other practice location 5

47 Gramling St SE
Marietta, GA 30008-2517
Phone (770) 436-9123

Other practice location 6

910 Holcomb Bridge Rd Ste 100
Roswell, GA 30076-1981
Phone (770) 992-6789

Other names 1

  • InFocus Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251017004270 GA Part B Supplier - Clinic/Group Practice 4385132703 Receives reassigned benefits from 10 practitioners
Practice locations: Cumming, GA; Smyrna, GA; Roswell, GA; Marietta, GA

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

901 Holcomb BRG Rd
100
Roswell, GA 30076
Phone (770) 992-6789

Practitioners & affiliated clinicians

Practitioners 11

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": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1528944451",
    "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": "5851 S VICKERY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408793",
            "telephone_number": "678-648-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Mathis Airport Pkwy Ste 308",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249132",
            "country_code": "US",
            "telephone_number": "770-574-6090",
            "fax_number": "770-574-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 Dallas Hwy SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300647577",
            "country_code": "US",
            "telephone_number": "770-422-8002",
            "fax_number": "770-422-4618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4280 E West Connector SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300824804",
            "country_code": "US",
            "telephone_number": "770-435-4457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 Powder Springs Rd SW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300644848",
            "country_code": "US",
            "telephone_number": "770-436-9123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Gramling St SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300082517",
            "country_code": "US",
            "telephone_number": "770-436-9123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Holcomb Bridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300761981",
            "country_code": "US",
            "telephone_number": "770-992-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR OPTOMETRY GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InFocus Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

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.