Izza Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IZZA PROFESSIONAL CORPORATION

Practice address

4931 S Route 59 Ste 115
Naperville, IL 60564-2692

Phone

(630) 904-1900

NPI assigned

Jun 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Maria Annum, ODNPI 1902310006

Title

Optometrist

Phone

(773) 322-7071

Specialties & licenses 1

Addresses

Other names 1

• Maxivision Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Annum, OD

  • Optometrist
  • Naperville, IL
  • NPI 1902310006
  Medicare reassignment NPD Authorized official
• Amy Chang, O.D.

  • Optometrist
  • Bloomingdale, IL
  • NPI 1861705055
  NPD (past)
• Prasod C Ramachandran, OD

  • Optometrist
  • Chicago, IL
  • NPI 1295893808
  NPD (past)

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1346084589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3092 SERENITY LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644669",
            "telephone_number": "773-322-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S ROUTE 59 STE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605642692",
            "telephone_number": "630-904-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZZA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "ANNUM",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "773-322-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxivision Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget O'Shea Ivanic, SLP
• Michelle E Ivanic, M.S. CCC-SLP
• Ivory Touch Dental
• Ivy Lane Counseling
• Bragadeesh Ramamurti Iyer, PHARM D, CGP
• J. Ceska, LLC
• J. Colby Martin, PH.D., P.C.
• J&D Spine and Joint Rehab PLLC
• Nihad F Jabbar, DC
• Buthaina M Jabir, MD

• Optometrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.