Individual provider Active NPI

Maithili Patel, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1548997042
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003457 Issued in GA
Practice address
800 Mount Vernon Hwy NE Ste 130
Atlanta, GA 30328-4293
Phone
(404) 256-1125
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003457 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy NE Ste 130
Atlanta, GA 30328-4293

Mailing address

800 Mount Vernon Hwy NE Ste 130
Atlanta, GA 30328-4293
Phone (404) 256-1125

Other practice location 1

11315 Johns Creek Pkwy Ste 300
Duluth, GA 30097-2644
Phone (678) 381-2020

Other practice location 2

1034 Haw Creek Cir Ste 100
Cumming, GA 30041-6513
Phone (678) 381-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230519002315 GA Practitioner - Optometry 5890151641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milan Eye LLCGroup PAC ID 2668519109, 21 clinicians

Practice addresses (Care Compare)

1034 Haw Creek Cir
Suite 100
Cumming, GA 30041-6513
Phone (678) 381-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
94
Promoting interoperability
71
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003457GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Snellville Eye Surgery Center LLC CurrentSince Apr 13, 2025 Accepting new patients
Milan Eye LLC CurrentSince Jun 11, 2023 Accepting new patients

Locations

1250 Scenic Hwy
Ste 1600
Lawrenceville, GA 30045

1250 Scenic Hwy
Ste 1700
Lawrenceville, GA 30045
Phone (678) 853-7715

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

1300 Peachtree Industrial
Dallas, TX 75373

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1548997042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284293",
            "telephone_number": "404-256-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284293",
            "telephone_number": "404-256-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Johns Creek Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300972644",
            "country_code": "US",
            "telephone_number": "678-381-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1034 Haw Creek Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416513",
            "country_code": "US",
            "telephone_number": "678-381-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAITHILI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.