Samreen Mirza, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011696 Issued in IL

Practice address

17W685 Roosevelt Rd
Oakbrook Terrace, IL 60181-3545

Phone

(630) 916-8282

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austin-Cleetus LTD

  dba Pearle Vision

  • Optometrist
  • Oakbrook Terrace, IL
  • NPI 1831232495
  Medicare reassignment NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  Medicare reassignment NPD
• Luxottica of America Inc.

  • Point of Service
  • Mason, OH
  • NPI 1831244953

  IL

  Medicare reassignment
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1215659925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BLUE SPRUCE LN",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W685 ROOSEVELT RD",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813545",
            "telephone_number": "630-916-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "SAMREEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Gastroenterology Associates LTD
• Midwest Geriatric Associates Inc
• Midwest Rheumatology Consultants, S. C.
• Jared Richard Miller, M.D.
• Lea Ann Minalga, CADC
• Mobility Center of Chicago Inc (Amigo Mobility Center)
• Samantha Molda-Zachary, DC
• Moya Apteka Inc. (Immediate Care Pharmacy)
• Mubashir Saeed, MD, SC (Dynamic Sports Medicine and Wellness)
• Rizwana Mughal, M.D

• Optometrist in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.