Individual provider Active NPI

Priyal Desai

  • Optometrist
  • Austin, TX
National Provider Identifier
1104235134
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8470T Issued in TX
Practice address
4301 W William Cannon Dr
Ste B210
Austin, TX 78749-1473
Phone
(512) 328-0015
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8470T TX Primary

Addresses

Primary practice location

4301 W William Cannon Dr
Ste B210
Austin, TX 78749-1473

Mailing address

4301 W William Cannon Dr
Ste B210
Austin, TX 78749-1473
Phone (512) 328-0015

Other names 1

  • Priyal Desai Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113001514 TX Practitioner - Optometry 7214251644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dry Eye Associates PLLCGroup PAC ID 0941691372, 3 clinicians

Practice addresses (Care Compare)

3305 Northland Dr
Suite 505
Austin, TX 78731-5035
Phone (512) 494-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8470TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Eye Associates, PLLC Optometrist CurrentSince Feb 2, 2026 Accepting new patients
Aeg Texas Professional PLLC Optometrist PastSince Nov 8, 2014 Accepting new patients

Locations

3305 Northland Dr
Ste 505
Austin, TX 78731
Phone (512) 494-4141

1502 Blue Ridge Dr
Ste 301
Georgetown, TX 78626
Phone (512) 409-9903

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1104235134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W WILLIAM CANNON DR",
            "address_2": "STE B210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491473",
            "telephone_number": "512-328-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W WILLIAM CANNON DR",
            "address_2": "STE B210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491473",
            "telephone_number": "512-328-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PRIYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8470T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYAL",
            "last_name": "DESAI",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.