Doctor profile · Federal record
Dr. Mariam Ethezaz, OD
Optometrist (CMS: Optometry) · Glenview, IL
- NPI 1962996181
- Accepts Medicare
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
2305 Willow RD
Glenview, IL 600257637
(847) 832-9690 - Additional location
-
1243 W Boughton RD
Bolingbrook, IL 604401509
(630) 679-0900 - Additional location
-
1701 W Larkin Avenue
Crest Hill, IL 604031970
(815) 741-1140 - Additional location
-
2501 W Lawrence Ave
Chicago, IL 606252958
(773) 931-3839 - Additional location
-
4777 Northwest Hwy
Crystal Lake, IL 600147340
(815) 477-8500 - Mailing address
-
2501 W Lawrence Ave
Chicago, IL 606252958
Show 2 more locations
Credentials & registration
- NPI registered
- June 2018 — 8 yrs on file
- Profile last updated
- August 2, 2019
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Illinois #046011188
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962996181. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$83
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alcon Vision LLC | 1 | $49.60 | |
| Johnson & Johnson Vision Care, Inc. | 2 | $32.98 |
By nature of payment
Frequently asked questions
What is Dr. Mariam Ethezaz's medical specialty?
Dr. Mariam Ethezaz practices Optometrist in Glenview, IL.
Where does Dr. Mariam Ethezaz practice?
Dr. Mariam Ethezaz practices at 2305 Willow RD, Glenview, IL 600257637. Office phone: 8478329690.
What is Dr. Mariam Ethezaz's NPI?
Dr. Mariam Ethezaz's National Provider Identifier (NPI) is 1962996181, issued by NPPES.
Does Dr. Mariam Ethezaz accept Medicare assignment?
Yes. Dr. Mariam Ethezaz accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.