Individual provider Active NPI

Dzejna Mezbur

  • Optometrist
  • Sycamore, IL
National Provider Identifier
1679773055
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009955 Issued in IL
Practice address
1630 Gateway Dr
Sycamore, IL 60178-3182
Phone
(630) 789-6700
Fax
(815) 756-5603
NPI assigned
Jul 23, 2007
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009955 IL Primary

Addresses

Primary practice location

1630 Gateway Dr
Sycamore, IL 60178-3182

Mailing address

1630 Gateway Dr
Sycamore, IL 60178-3182
Phone (630) 789-6700

Other practice location 1

1614 W Central Rd
Suite 100
Arlington Heights, IL 60005-2490
Phone (847) 394-1414

Other practice location 2

1630 Sherman Ave Ste 100
Evanston, IL 60201-3711
Phone (847) 535-6464

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
I20071002000748 IL Practitioner - Optometry 6406941640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1630 Sherman Ave
Suite 100
Evanston, IL 60201-3711
Phone (847) 535-7647

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Eye Physicians, LLC CurrentSince Oct 1, 2007 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 1, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 1, 2022 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations

1604 W Central Rd
Arlington Hts, IL 60005
Phone (847) 394-1414

1614 W Central Rd
Ste 100
Arlington Hts, IL 60005
Phone (847) 394-1414

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1630 Sherman Ave
Ste 100
Evanston, IL 60201
Phone (224) 271-4860

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

Interoperability endpoints

  • Direct secure messaging: dzejna.mezbur.p1@direct.hauserross.nextgenshare.com

Organizations & group practices 6

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1679773055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783182",
            "telephone_number": "630-789-6700",
            "fax_number": "815-756-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783182",
            "telephone_number": "630-789-6700",
            "fax_number": "815-756-5603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1614 W Central Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052490",
            "country_code": "US",
            "telephone_number": "847-394-1414",
            "fax_number": "847-394-5380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Sherman Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013711",
            "country_code": "US",
            "telephone_number": "847-535-6464",
            "fax_number": "224-271-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZBUR",
        "first_name": "DZEJNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.