| Mariam Ethezaz, OD | |
|
2305 Willow Rd, Glenview, IL 60025-7637 | |
| (847) 832-9690 | |
| Not Available |
| Full Name | Mariam Ethezaz |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 2305 Willow Rd, Glenview, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962996181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046011188 (Illinois) | Primary |
| Provider Name | Rosin Optical Co Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235343641 PECOS PAC ID: 8022921758 Enrollment ID: O20031110000262 |
| Provider Name | Ziva Optical Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578694386 PECOS PAC ID: 9931259363 Enrollment ID: O20090605000405 |
| Provider Name | Priziva Optical, Ltd. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518098318 PECOS PAC ID: 1355491788 Enrollment ID: O20090605000437 |
| Provider Name | Ziva Optical Ii Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104957828 PECOS PAC ID: 6709936131 Enrollment ID: O20090605000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Ethezaz, OD 2501 W Lawrence Ave, Chicago, IL 60625-2958 Ph: (773) 801-3757 | Mariam Ethezaz, OD 2305 Willow Rd, Glenview, IL 60025-7637 Ph: (847) 832-9690 |
Glenview Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1920 Waukegan Rd Ste 1, Glenview, IL 60025 Phone: 847-510-2111 Fax: 847-510-2115 | |
Bilis Vision, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3917 Charlie Ct, Glenview, IL 60026 Phone: 847-809-1891 Fax: 847-273-0555 | |
Dr. Mai Chu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2050 Pfingsten Rd Ste 280, Glenview, IL 60026 Phone: 224-251-2020 | |
Imad Dababneh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 Phone: 708-770-6005 | |
Dr. David Sheade, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1527 Waukegan Rd Ste B, Glenview, IL 60025 Phone: 847-998-4737 | |
Miriam M Weller , O.d., Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2900 Patriot Blvd, Glenview, IL 60026 Phone: 847-730-1006 Fax: 847-730-1027 | |
Dr. Dorota Czaicka, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2305 Willow Rd, Glenview, IL 60025 Phone: 847-832-9690 Fax: 847-832-9691 |