Active NPI
Mariam Siddiqi, O.D
- Optometrist
- Glendale HTS, IL
National Provider Identifier
1578246716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011751
- Practice address
- 1798 Arlington LN
Glendale HTS, IL 60139-1892 - Phone
- (630) 999-1799
- NPI assigned
- Aug 14, 2023
- Last updated
- Sep 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.011751 | IL | Primary |
Addresses
Primary practice location
1798 Arlington LN
Glendale HTS, IL 60139-1892
Mailing address
1798 Arlington LN
Glendale HTS, IL 60139-1892
Phone (630) 999-1799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.51 of 100
- Quality
- 99.51
- Improvement activities
- 40
- Cost
- 72.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011751 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geneva Eye Clinic LTD | Current | Accepting new patients |
Locations
1000 Randall Rd
Ste 100
Geneva, IL 60134
Phone (630) 232-1282
Interoperability endpoints
- msiddiqi@geneva.intellechartdirect.net
Organizations & group practices 1
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": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1578246716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1798 ARLINGTON LN",
"city": "GLENDALE HTS",
"state": "IL",
"postal_code": "601391892",
"telephone_number": "630-999-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1798 ARLINGTON LN",
"city": "GLENDALE HTS",
"state": "IL",
"postal_code": "601391892",
"telephone_number": "630-999-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQI",
"first_name": "MARIAM",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale HTS, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.