Individual provider Active NPI

Mariam Siddiqi, O.D

  • Optometrist
  • Glendale HTS, IL
National Provider Identifier
1578246716
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011751 Issued in IL
Practice address
1798 Arlington LN
Glendale HTS, IL 60139-1892
Phone
(630) 999-1799
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.51 of 100Reported as group
Quality
99.51
Improvement activities
40
Cost
72.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011751ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva Eye Clinic LTD CurrentSince Aug 1, 2023 Accepting new patients

Locations

1000 Randall Rd
Ste 100
Geneva, IL 60134
Phone (630) 232-1282

Interoperability endpoints

  • Direct secure messaging: 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.