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

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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