MARIAM ETHEZAZ OD
NPI 1962996181
Optometrist in Glenview, IL
About Mariam Ethezaz Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAM ETHEZAZ OD (NPI 1962996181) is an individual optometrist in Glenview, Illinois, licensed in Illinois (046011188) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Accepted 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
Mariam Ethezaz 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60025 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 5
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 Mariam Ethezaz's NPI number?
The NPI number for Mariam Ethezaz is 1962996181. It was assigned to this individual provider in the NPPES registry on June 20, 2018.
Where is Mariam Ethezaz located?
Mariam Ethezaz practices at 2305 Willow Rd, Glenview, IL 60025. The listed phone number is (847) 832-9690.
What is Mariam Ethezaz's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mariam Ethezaz enrolled in Medicare?
Yes. Mariam Ethezaz 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 Mariam Ethezaz accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Mariam Ethezaz 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 Mariam Ethezaz was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mariam Ethezaz, OD · NPI 1962996181
Optometrist provider in Glenview, Illinois. Individual provider, active in the CMS NPPES registry since June 20, 2018.
## Identity
- **NPI:** 1962996181 (Entity type: Individual)
- **Enumerated:** June 20, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046011188 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2305 WILLOW RD, Glenview, IL 60025-7637
- **Phone:** (847) 832-9690
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2018
## Record status
- **NPPES last updated:** August 2, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1962996181) · Data from the CMS NPPES public registry.