Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariam Ethezaz, OD

Individual provider Optometrist · NPI 1962996181

Mariam Ethezaz, OD is an Optometry in Glenview, Illinois. Graduated from Illinois College of Optometry at Chicago in 2018, 8 years ago. Works from 5 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2305 Willow Rd
Glenview, IL 60025-7637
Phone: (847) 832-9690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1243 W Boughton Rd, Bolingbrook, IL 60440-1509 — (630) 679-0900
  • 2501 W Lawrence Ave, Chicago, IL 60625-2958 — (773) 931-3839
  • 1701 W Larkin Avenue, Crest Hill, IL 60403-1970 — (815) 741-1140
  • 4777 Northwest Hwy, Crystal Lake, IL 60014-7340 — (815) 477-8500

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011188 (IL)

Record details

NPI number1962996181
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESAugust 2, 2019
Mailing address2501 W Lawrence Ave, Chicago, IL 60625-2958

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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