Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962996181 Individual Practitioner Female Practitioner

Dr. Mariam Ethezaz , OD

Optometrist • Glenview, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mariam Ethezaz, OD is a certified Optometrist practicing in Glenview, IL. With approximately 8 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2018, Dr. Ethezaz delivers high-quality medical care to the local community at 2305 WILLOW RD.

Dr. Ethezaz accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2305 Willow Rd

Glenview, IL 600257637

Telephone 8478329690
Associated Practice Facility / Clinic
🏢 Pearle Vision Facility NPI 1437279023

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Glenview, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -8.7 yrs vs City Avg
City Avg: 16.7 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Glenview, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ethezaz (8 Years) 8 Yrs
Glenview Specialty Average (16.7 Years) 16.7 Yrs

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046011188

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.

Secondary Practice Locations

1701 W Larkin Avenue

Crest Hill, IL 604031970

Phone: 8157411140

1243 W Boughton Rd

Bolingbrook, IL 604401509

Phone: 6306790900

4777 Northwest Hwy

Crystal Lake, IL 600147340

Phone: 8154778500

2501 W Lawrence Ave

Chicago, IL 606252958

Phone: 7739313839

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1164572244

Doctor of Optometry

NPI 1508396516

Doctor of Optometry

Arwa Chinwala

Optometrist

NPI 1730536517

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address August 02, 2019

Registered at 2501 W LAWRENCE AVE, CHICAGO, IL 606252958 (Tel: 7738013757)

NPI Profile Active June 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2018

Registered at 2305 WILLOW RD, GLENVIEW, IL 600257637 (Tel: 8478329690)

📍
Updated Business Mailing Address June 22, 2018

Registered at 5232 WRIGHT TER, SKOKIE, IL 600772161 (Tel: 7739313839)

👤
Provider Name / Credentials Updated June 22, 2018

Recorded as MARIAM ETHEZAZ, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2018

Optometrist (License #046011188 in IL)

🟢
Initial NPI Registration & Enumeration June 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962996181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2018
Last Update: August 02, 2019
Sole Proprietor: No

Mailing Address

2501 W Lawrence Ave

Chicago, IL 606252958

Phone: 7738013757

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.