Organization Active NPI

MJSZ Optometrist LTD

  • Optometrist
  • Glendale Heights, IL
National Provider Identifier
1750036570
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MJSZ OPTOMETRIST LTD
Practice address
132 E Army Trail Rd
Glendale Heights, IL 60139-1647
Phone
(630) 935-3288
Fax
(630) 866-1229
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Saher Sayed, ODNPI 1538610100
Title
Optometrist
Phone
(630) 935-3288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

132 E Army Trail Rd
Glendale Heights, IL 60139-1647

Mailing address

132 E Army Trail Rd
Glendale Heights, IL 60139-1647
Phone (630) 935-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220606002111 IL Part B Supplier - Clinic/Group Practice 8527446434 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale Heights, IL

National Provider Directory

National Provider Directory

Locations

132 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 935-3288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1750036570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E ARMY TRAIL RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391647",
            "telephone_number": "630-935-3288",
            "fax_number": "630-866-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E ARMY TRAIL RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391647",
            "telephone_number": "630-935-3288",
            "fax_number": "630-866-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJSZ OPTOMETRIST LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "SAYED",
        "authorized_official_first_name": "SAHER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "630-935-3288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.