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SANIYA MERCHANT OD
NPI 1043107725
Optometrist in Buffalo Grove, IL

Active since June 23, 2025PECOS EnrolledAccepts Medicare Assignment
1120 W LAKE COOK RD, BUFFALO GROVE, IL 60089(847) 459-6060 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Saniya Merchant Od NPPES

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

SANIYA MERCHANT OD (NPI 1043107725) is an individual optometrist in Buffalo Grove, Illinois, licensed in Illinois (046.011972) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043107725
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSANIYA MERCHANTCredential: OD
Location Address1120 W LAKE COOK RDBuffalo Grove, IL 60089-1970
Mailing Address1120 W Lake Cook RdBuffalo Grove, IL 60089-1970 · (847) 459-6060
Phone(847) 459-6060
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1043107725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046.011972
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.
1120 W LAKE COOK RD, Buffalo Grove, IL 60089
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Saniya Merchant Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335652304
PECOS Enrollment IDI20250702001004
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROYA ZANDI
Ophthalmology
1120 W LAKE COOK RD
BUFFALO GROVE, IL 60089
Lake County (847) 459-6060

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 Saniya Merchant's NPI number?

The NPI number for Saniya Merchant is 1043107725. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Saniya Merchant located?

Saniya Merchant practices at 1120 W Lake Cook Rd, Buffalo Grove, IL 60089. The listed phone number is (847) 459-6060.

What is Saniya Merchant's specialty?

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

Is Saniya Merchant enrolled in Medicare?

Yes. Saniya Merchant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Saniya Merchant accept?

Health plans from Providence Health Plan list Saniya Merchant 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 Saniya Merchant was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.