Individual provider Active NPI

Aida Haddad, OD

  • Optometrist
  • Tinley Park, IL
National Provider Identifier
1801380225
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011595 Issued in IL
Practice address
18210 La Grange Rd
Tinley Park, IL 60487-7722
Phone
(708) 722-5800
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011595 IL Primary
Optometrist 152W00000X 18004090A IN

Addresses

Primary practice location

18210 La Grange Rd
Tinley Park, IL 60487-7722

Mailing address

10436 Southwest Hwy
Chicago Ridge, IL 60415-2282
Phone (708) 578-8200

Other names 1

  • Aida Zabaneh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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
I20190514002692 IN Practitioner - Optometry 1850634841 Reassigns benefits to 2 organizations
I20220211000637 IL Practitioner - Optometry 1850634841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Eye SpecialistsGroup PAC ID 3971848433, 9 clinicians

Practice addresses (Care Compare)

10436 Southwest Hwy
Suite 1
Chicago Ridge, IL 60415

10436 Southwest Hwy
Suite 1
Chicago Ridge, IL 60415-2284
Phone (708) 873-0088

Merit-based Incentive Payment System (MIPS)

Final score
90.73 of 100Reported as group
Quality
95.49
Promoting interoperability
100
Improvement activities
40
Cost
68.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011595ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince May 13, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Mar 21, 2022 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince May 13, 2019 Accepting new patients
D J Dawson MD Incorporated CurrentSince Mar 31, 2024 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Mar 21, 2022 Accepting new patients

Locations

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

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

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

9610 N Centennial Dr
Ste H
Munster, IN 46321
Phone (708) 578-2657

6097 US Highway 6
Portage, IN 46368
Phone (219) 730-4559

2106 Calumet Ave
Valparaiso, IN 46383
Phone (219) 464-8200

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: azabaneh@tichoeyeassociates.intellechartdirect.net

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1801380225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152282",
            "telephone_number": "708-578-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877722",
            "telephone_number": "708-722-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "AIDA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011595",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004090A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIDA",
            "last_name": "ZABANEH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.