SAMREEN MIRZA OD
NPI 1215659925
Optometrist in Oakbrook Terrace, IL
About Samreen Mirza Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMREEN MIRZA OD (NPI 1215659925) is an individual optometrist in Oakbrook Terrace, Illinois, licensed in Illinois (046.011696) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samreen Mirza Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Samreen Mirza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakbrook Terrace, IL 60181
- Reassigned Medicare billing, Illinois enrollment
- 8 clinicians in this Medicare group
Niles, IL 60714
- Reassigned Medicare billing, Illinois enrollment
- 108 clinicians in this Medicare group
Mason, OH 45040
- Reassigned Medicare billing, Illinois enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60181 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samreen Mirza's NPI number?
The NPI number for Samreen Mirza is 1215659925. It was assigned to this individual provider in the NPPES registry on September 19, 2022.
Where is Samreen Mirza located?
Samreen Mirza practices at 17w685 Roosevelt Rd, Oakbrook Terrace, IL 60181. The listed phone number is (630) 916-8282.
What is Samreen Mirza's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Samreen Mirza enrolled in Medicare?
Yes. Samreen Mirza is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samreen Mirza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samreen Mirza reassigns Medicare benefits to 3 organizations: Austin-Cleetus Ltd (Oakbrook Terrace, IL), Visionworks, Inc. (Niles, IL) and Luxottica Of America Inc. (Mason, OH). Each 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 Samreen Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samreen Mirza accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners and 8 other insurers list Samreen Mirza 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 Samreen Mirza was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samreen Mirza, OD · NPI 1215659925
Optometrist provider in Oakbrook Terrace, Illinois. Individual provider, active in the CMS NPPES registry since September 19, 2022.
## Identity
- **NPI:** 1215659925 (Entity type: Individual)
- **Enumerated:** September 19, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046.011696 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 17W685 ROOSEVELT RD, Oakbrook Terrace, IL 60181-3545
- **Phone:** (630) 916-8282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Austin-Cleetus Ltd (NPI 1831232495, Oakbrook Terrace, IL); Visionworks, Inc. (NPI 1831115906, Niles, IL); Luxottica Of America Inc. (NPI 1831244953, Mason, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215659925) · Data from the CMS NPPES public registry.