Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shivali P Desai, OD

Individual provider Optometrist · NPI 1780939041

Dr. Shivali P Desai, OD is an Optometry in Charlotte, North Carolina. Graduated from University of Missouri St Louis - School of Optometry in 2012, 14 years ago. Practices with Northside Vision, LLC, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
14
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
NC, SC
In the registry since
2012
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2015 Randolph Rd Ste 108
Charlotte, NC 28207-1200
Phone: (704) 334-2020
Fax: (833) 231-6851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8816 University East Dr Ste C, Charlotte, NC 28213-4109 — (704) 547-8730
  • 4101 Campus Ridge Rd, Matthews, NC 28105-5077 — (704) 234-1930
  • 630 Comfort Ln Ste E, Monroe, NC 28112-6493 — (704) 289-5455

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2400 (NC)
Optometrist Taxonomy 152W00000X · Licence 1721 (SC)

Record details

NPI number1780939041
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 23, 2012
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice Northside Vision, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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