Individual provider Active NPI

Maja Hadziahmetovic, O.D.

  • Optometrist
  • Elgin, IL
National Provider Identifier
1396195228
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011027 Issued in IL
Practice address
502 Waverly Dr
Elgin, IL 60120-4082
Phone
(847) 697-7771
NPI assigned
Jun 22, 2016
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011027 IL Primary

Addresses

Primary practice location

502 Waverly Dr
Elgin, IL 60120-4082

Mailing address

6706 N Trumbull Ave
Lincolnwood, IL 60712-3740

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160801000139 IL Practitioner - Optometry 6709179500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grishma P. Patel, O.D. and Associates, P.C.Group PAC ID 0042350662, 5 clinicians
Advanced Eyecare of Arlington Heights CorpGroup PAC ID 6204227184, 3 clinicians

Practice addresses (Care Compare)

155 Park Ave
Suite B
Cary, IL 60013-2793
Phone (847) 639-7446

27 S Vail Ave
Suite 1840
Arlington Heights, IL 60005-1840
Phone (847) 368-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grishma P. Patel, O.D. & Associates, P.C. Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Advanced Eyecare of Arlington Heights Corp Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Oneopto Il 1 PLLC Optometrist CurrentSince Sep 28, 2025 Accepting new patients

Locations

27 S Vail Ave
Ste 1840
Arlington Heights, IL 60005

27 S Vail Ave
#1840
Arlington Hts, IL 60005
Phone (847) 368-9800

155 Park Ave
Ste B
Cary, IL 60013
Phone (847) 639-5855

534 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 550-5228

1325 N Main St
Wheaton, IL 60187
Phone (630) 668-4144

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1396195228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 N TRUMBULL AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WAVERLY DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204082",
            "telephone_number": "847-697-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADZIAHMETOVIC",
        "first_name": "MAJA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.