MEDICARE: STAR SHOES CORPORATION

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
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1811102460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAR SHOES CORPORATION

Provider Business Mailing Address
First Line	:	3370 SUGARLOAF PKWY
Second Line	:	SUITE G-6
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-5478
Country	:	US
Telephone Number	:	678-225-4569
Fax Number	:	678-225-5749

Provider Business Practice Location Address
First Line	:	3370 SUGARLOAF PARKWAY
Second Line	:	SUITE G-6
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-5478
Country	:	US
Telephone Number	:	678-225-4569
Fax Number	:	678-225-5749

Authorized Official
Title or Position	:	SECRETARY TREASURER
Name	:	MRS. JANICE L. ROGERS
Credential	:
Telephone Number	:	678-225-4569

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/18/2009

Similar Medicare Providers

1265383764 — ANDREA HENAO
Practice Location Address:

3370 SUGARLOAF PKWY STE B4B5
LAWRENCEVILLE, GA
30044-5478

Practice Phone: 470-706-7500
Practice Fax:

1780623744 — PUBLIX SUPER MARKETS INC
Practice Location Address:

3370 SUGARLOAF PKWY
LAWRENCEVILLE, GA
30044-5478

Practice Phone: 678-376-6055
Practice Fax: 678-376-6299

1477606143 — FATEMEH TAHER
Practice Location Address:

3370 SUGARLOAF PKWY , SUITE G-8
LAWRENCEVILLE, GA
30044-5478

Practice Phone: 678-215-1300
Practice Fax:

1316166598 — STEPHEN A. GODLEWSKI MD PC
Practice Location Address:

3370 SUGARLOAF PKWY , SUITE B-3
LAWRENCEVILLE, GA
30044-5478

Practice Phone: 770-339-9100
Practice Fax: 770-339-9090

1679794531 — VISION INSTITUTE OPTICAL, LLC
Practice Location Address:

3370 SUGARLOAF PKWY , SUITE B-3
LAWRENCEVILLE, GA
30044-5478

Practice Phone: 770-339-9100
Practice Fax: 770-339-9090

1053521476 — CAZ GOODMAN, D.C., P.A.
Practice Location Address:

3370 SUGARLOAF PKWY , SUITE G7
LAWRENCEVILLE, GA
30044-5478

Practice Phone: 678-225-5553
Practice Fax: 678-225-5554

Directions to “STAR SHOES CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.