WINDERMERE OPTIQUE LLC
NPI 1770129637
Optometrist in Suwanee, GA

Q: What is Windermere Optique LLC's NPI number?

The NPI number for Windermere Optique LLC is 1770129637. It was assigned to this organization in the NPPES registry on November 25, 2019.

Q: What is Windermere Optique LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since November 25, 2019

3130 MATHIS AIRPORT PKWY STE 308, SUWANEE, GA 30024(770) 574-6090 Get Directions Write a Review

NPPES record last updated: April 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 19, 2020, Nov 25, 2019 (2 updates tracked since 2019).

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About Windermere Optique Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINDERMERE OPTIQUE LLC (NPI 1770129637) is a healthcare organization registered as an optometrist in Suwanee, Georgia and active in the NPI registry since November 2019. The organization lists Loan Vo Unsworth, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1770129637

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameWINDERMERE OPTIQUE LLC

Location Address3130 MATHIS AIRPORT PKWY STE 308Suwanee, GA 30024-9132

Mailing Address1788 Scouts WalkDacula, GA 30019-7817 · (770) 380-3501

Phone(770) 574-6090

Organization SubpartNo

Authorized OfficialLoan Vo UnsworthOptometrist · (770) 574-6090

Enumeration DateNovember 25, 2019

Last NPPES UpdateApril 19, 20202 updates tracked since enumeration

NPPES CertifiedApril 19, 2020

✔ NPI 1770129637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

3130 MATHIS AIRPORT PKWY STE 308, Suwanee, GA 30024

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Windermere Optique Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Windermere Optique LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Loan Unsworth, O.D.

Optometry

NPI 1386846293

3130 MATHIS AIRPORT PKWY STE 308
Suwanee, GA 30024

(770) 574-6090

✔ PECOSSame address

Nutan Desai, O.D.

Optometry

NPI 1205955481

3130 MATHIS AIRPORT PKWY STE 308
Suwanee, GA 30024

(770) 574-6090

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Windermere Optique LLC's NPI number?

The NPI number for Windermere Optique LLC is 1770129637. It was assigned to this organization in the NPPES registry on November 25, 2019.

Where is Windermere Optique LLC located?

Windermere Optique LLC is located at 3130 Mathis Airport Pkwy Ste 308, Suwanee, GA 30024. The listed phone number is (770) 574-6090.

What is Windermere Optique LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Windermere Optique LLC enrolled in Medicare?

Yes. Windermere Optique LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Windermere Optique LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Windermere Optique LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Windermere Optique LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Windermere Optique LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Windermere Optique LLC was last updated on April 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.