Nutan Desai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA 01885 Issued in GA

Practice address

3130 Mathis Airport Pkwy Ste 308
Suwanee, GA 30024-9132

Phone

(770) 574-6090

Fax

(770) 574-6099

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Windermere Optique LLCGroup PAC ID 3476972886, 2 clinicians

Hamilton Mill Eyecare Inc.Group PAC ID 5294763819, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hamilton Mill Eyecare Inc.

  • Optometrist
  • Buford, GA
  • NPI 1548354392
  Medicare reassignment Care Compare group NPD
• Windermere Optique LLC

  • Optometrist
  • Suwanee, GA
  • NPI 1770129637
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Buford, GA
  • NPI 1427999838
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1205955481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 MATHIS AIRPORT PKWY STE 308",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249132",
            "telephone_number": "770-574-6090",
            "fax_number": "770-574-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 MATHIS AIRPORT PKWY STE 308",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249132",
            "telephone_number": "770-574-6090",
            "fax_number": "770-574-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NUTAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA 01885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen Deogracias, OTR/L
• Katelyn Derogatis, LPC, NCC
• Ami Desai, DMD
• Mausami Desai
• Nikita Desai, MD
• Tina Dev, PA-C
• Karen B. Dewling, MD
• Kulp Dhru
• Diamond Care Management LLC
• Gloria Iris Diaz-Muhsen

• Optometrist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.