Mariam Ethezaz, OD
NPI 1962996181 · Optometrist · Glenview, IL
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mariam Ethezaz, OD is a Optometrist provider in Glenview, IL (NPI 1962996181).
Provider details
- NPI number
- 1962996181
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 046011188 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
8 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
5 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$83 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 1243 W Boughton RdBolingbrook, IL 60440-1509Phone: (630) 679-0900
- 2501 W Lawrence AveChicago, IL 60625-2958Phone: (773) 931-3839
- 1701 W Larkin AvenueCrest Hill, IL 60403-1970Phone: (815) 741-1140
- 4777 Northwest HwyCrystal Lake, IL 60014-7340Phone: (815) 477-8500
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2019-08-02
Frequently asked questions
- What is Mariam Ethezaz's NPI number?
- Mariam Ethezaz's National Provider Identifier (NPI) is 1962996181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mariam Ethezaz's specialty?
- Mariam Ethezaz is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Mariam Ethezaz located?
- Mariam Ethezaz's practice location on file with NPPES is 2305 Willow Rd, Glenview, IL 60025-7637.
- What is Mariam Ethezaz's phone number?
- The practice phone number listed in the NPPES registry for Mariam Ethezaz is (847) 832-9690.
- Does Mariam Ethezaz accept Medicare?
- Mariam Ethezaz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mariam Ethezaz's NPI active?
- Yes — Mariam Ethezaz's NPI (1962996181) is active in the NPPES registry as of the last update on 2019-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.