Organization Active NPI

Star Optometry TN, PC

  • Optometrist
  • Fayetteville, TN
National Provider Identifier
1669340253
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STAR OPTOMETRY TN, PC
Practice address
1822 Huntsville Hwy Ste D
Fayetteville, TN 37334-3788
Phone
(931) 433-1370
NPI assigned
Oct 27, 2025
Organization subpart
Yes
Parent organization
STAR OPTOMETRY TN, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Rachel Marie Arnold
Title
Credentialing Manager
Phone
(256) 321-1828

Specialties & licenses 1

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

Addresses

Primary practice location

1822 Huntsville Hwy Ste D
Fayetteville, TN 37334-3788

Mailing address

7501 Paragon Rd Ste 201
Dayton, OH 45459-5323

National Provider Directory

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

Other organizations with this tax ID 2

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": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1669340253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 PARAGON RD STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454595323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 HUNTSVILLE HWY STE D",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343788",
            "telephone_number": "931-433-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR OPTOMETRY TN, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR OPTOMETRY TN, PC",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "256-321-1828"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.