DR. FAWZIYA SIDDIQUE MIRZA O.D.
NPI 1700811213
Optometrist in Burtonsville, MD
About Dr. Fawziya Siddique Mirza O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FAWZIYA SIDDIQUE MIRZA O.D. (NPI 1700811213) is an individual optometrist in Burtonsville, Maryland, licensed in Maryland (TPA1423) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Fawziya Siddique Mirza O.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Fawziya Mirza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fulton, MD 20759
- Reassigned Medicare billing, Maryland enrollment
- 2 clinicians in this Medicare group
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland enrollment
- 28 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20866 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Fawziya Mirza's NPI number?
The NPI number for Fawziya Mirza is 1700811213. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Fawziya Mirza located?
Fawziya Mirza practices at 15785 Columbia Pike, Burtonsville, MD 20866. The listed phone number is (301) 421-1144.
What is Fawziya Mirza's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Fawziya Mirza enrolled in Medicare?
Yes. Fawziya Mirza 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.
Which organizations bill Medicare for Fawziya Mirza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fawziya Mirza reassigns Medicare benefits to 2 organizations: Drs Ely And Cohen Optometry Of Maple Lawn LLC (Fulton, MD) and Eye Care Associates Of Maryland, LLC (Nottingham, MD). 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 Fawziya Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fawziya 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 Providence Health Plan list Fawziya 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 Fawziya Mirza was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Fawziya Siddique Mirza, O.D. · NPI 1700811213
Optometrist provider in Burtonsville, Maryland. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1700811213 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TPA1423 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 15785 COLUMBIA PIKE, Burtonsville, MD 20866-1030
- **Phone:** (301) 421-1144
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Drs Ely And Cohen Optometry Of Maple Lawn LLC (NPI 1750720991, Fulton, MD); Eye Care Associates Of Maryland, LLC (NPI 1588784235, Nottingham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 1996
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN U65763 (MD); Medicare ID-Type Unspecified 898969 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1700811213) · Data from the CMS NPPES public registry.