Provider Profile

Mariam Ethezaz, OD

Unclaimed Profile

About Dr. Ethezaz

Mariam Ethezaz, OD is an optometrist based in Glenview, IL. Mariam is a 2018 graduate of Illinois College of Optometry at Chicago.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

Specialty

Optometrist (Primary)

Credentials & Licensing

IL license046011188
NPI1962996181
NPI issued06/20/2018

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Ethezaz specialize in?

Dr. Ethezaz is an optometrist in Glenview, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Dr. Ethezaz located?

Dr. Ethezaz is listed at 2305 Willow Rd, Glenview, IL 60025. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Ethezaz's phone number?

The number on file is (847) 832-9690. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Dr. Ethezaz?

Dr. Ethezaz's National Provider Identifier is 1962996181. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dr. Ethezaz go to medical school?

Dr. Ethezaz attended Illinois College of Optometry at Chicago, graduating in 2018. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Ethezaz have?

Dr. Ethezaz has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.

CMS public data

Is Dr. Ethezaz's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Ethezaz. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.