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General NPI Number Information
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NPI Number | 1346103983
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Entity Type | Organization
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Legal Business Name | STAR OPTOMETRY GA LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 306 MUIRS CHAPEL RD STE B
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City | GREENSBORO
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State | NC
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Zip | 27410-6178
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Country | US
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Telephone | 336-854-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 110 COLLEGE ST STE E
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City | ATHENS
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State | AL
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Zip | 35611-2714
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Country | US
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Telephone | 256-233-2393
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Fax | 256-233-2309
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Authorized Official
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Title or Position | REVENUE MANAGER
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Name | RACHEL MARIE ARNOLD
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Credential |
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Telephone | 256-321-1828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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