LINCOLN SQUARE OPTICAL
NPI 1346716768
Optometrist in Chicago, IL
About Lincoln Square Optical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINCOLN SQUARE OPTICAL (NPI 1346716768) is a healthcare organization registered as an optometrist in Chicago, Illinois and active in the NPI registry since October 2018. The organization lists Mariam Ethezaz, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Accepted 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)
Lincoln Square Optical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lincoln Square Optical, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lincoln Square Optical's NPI number?
The NPI number for Lincoln Square Optical is 1346716768. It was assigned to this organization in the NPPES registry on October 23, 2018.
Where is Lincoln Square Optical located?
Lincoln Square Optical is located at 2501 W Lawrence Ave, Chicago, IL 60625. The listed phone number is (773) 931-3839.
What is Lincoln Square Optical's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lincoln Square Optical enrolled in Medicare?
Yes. Lincoln Square Optical is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lincoln Square Optical?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Lincoln Square Optical. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lincoln Square Optical accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Lincoln Square Optical 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 Lincoln Square Optical was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lincoln Square Optical · NPI 1346716768
Optometrist organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since October 23, 2018.
## Identity
- **NPI:** 1346716768 (Entity type: Organization)
- **Enumerated:** October 23, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Mariam Ethezaz, OPTOMETRIST
## Practice location
- **Address:** 2501 W LAWRENCE AVE, Chicago, IL 60625-2958
- **Phone:** (773) 931-3839
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1346716768) · Data from the CMS NPPES public registry.