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NPI Code Detail

MEDICARE: STAR OPTOMETRY GA LLC

MEDICARE: STAR OPTOMETRY GA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1578401204
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAR OPTOMETRY GA LLC
Provider Business Mailing Address
First Line : 110 COLLEGE ST STE E
Second Line :
City : ATHENS
State : AL
Zip : 35611-2714
Country : US
Telephone Number : 256-233-2393
Fax Number :
Provider Business Practice Location Address
First Line : 4280 EAST WEST CONNECTOR SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-4804
Country : US
Telephone Number : 770-435-4457
Fax Number :
Authorized Official
Title or Position : MANAGER, RCM
Name : RACHEL MARIE ARNOLD
Credential :
Telephone Number : 256-321-1828
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “STAR OPTOMETRY GA LLC ” Practice Location

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