Individual provider Active NPI

Yasmeen Kazkaz

  • Optometrist
  • Sylvania, OH
National Provider Identifier
1609560291
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011738 Issued in IL
Practice address
8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone
(419) 885-5300
Fax
(419) 885-5308
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007436 OH
Optometrist 152W00000X 046.011738 IL Primary

Addresses

Primary practice location

8254 Mayberry SQ N
Sylvania, OH 43560-9457

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230830000647 IL Practitioner - Optometry 3678936259 Reassigns benefits to 1 organization
I20260120003198 OH Practitioner - Optometry 3678936259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011738ILMDOptometrist
OPT.007436OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Dec 15, 2025 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 2, 2023 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 2, 2023 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Dec 15, 2025 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

1130 W Madison St
Chicago, IL 60607
Phone (312) 226-7200

321 N Michigan Ave
Chicago, IL 60601
Phone (312) 263-0222

3224 Ridge Rd
Ste 102
Lansing, IL 60438
Phone (708) 895-4422

10550 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 499-3911

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: yasmeen.kazkaz.1@26824.direct.athenahealth.com

Organizations & group practices 8

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1609560291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 MAYBERRY SQ N",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609457",
            "telephone_number": "419-885-5300",
            "fax_number": "419-885-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZKAZ",
        "first_name": "YASMEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007436",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.