Star Optometry Tn, PC
NPI 1336922764ActiveOrganization· Optometrist· Ooltewah, TN
Optometrist in Ooltewah, Tennessee, registered in NPPES in August 2023. The authorized official on file is Kelley Kott, Rcm Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336922764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2023 |
| Last updated in NPPES | Sep 21, 2026 |
| Certified by provider | Sep 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist, Corneal and Contact Management | 152WC0802X | — | — |
| Optometrist, Vision Therapy | 152WV0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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