Star Optometry Ga LLC

Optometrist in Roswell, GA. Organization (NPI-2).

NPI number1023973708

StatusActive

Last updated in NPPESSep 21, 2026

Details

NPI: 1023973708
Entity type: Organization (NPI-2)
Legal business name: Star Optometry Ga LLC
Organization subpart: No
Enumeration date: Dec 16, 2025
Certification date: Sep 21, 2026
Last updated: Sep 21, 2026

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes

Other names

Infocus Eyecare (Doing Business As)

Practice location

910 Holcomb Bridge Rd Ste 100
Roswell, GA 30076-1981

Phone 770-992-6789

Mailing address

110 College St Ste E1
Athens, AL 35611-2714

Phone 256-233-2393 · Fax 256-233-2309

Authorized official

Kelley Kott
Rcm Manager
2567952559

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Roswell, GA

All 34 Optometrist providers in Roswell · All 3,252 providers in Roswell

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