Syeda M Asad, O.D.
Individual provider Active NPI Optometrist · Normal, IL
NPI 1841852597 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1841852597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046.012091 (IL)
- Practice address
- 1700 E College Ave Ste 3
Normal, IL 61761-6184 - Phone
- (309) 454-2233
- Fax
- (309) 693-9542
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Washington Professional PC
Practice addresses (Care Compare)
301 E Pike St
Suite a
Seattle, WA 98122-3609
Phone (206) 464-0472
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241015004622 | WA | Practitioner - Optometry | 6800328808 | Reassigns benefits to 1 organization |
| I20260624000786 | IL | Practitioner - Optometry | 6800328808 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD60977280 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Washington Professional PC | Optometrist | Current |
Accepting new patients |
| Broadway Vision Source | Past |
Accepting new patients |
Locations
111 E 4th St
Ste 440
Alton, IL 62002
12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001
1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255
301 E Pike St
Ste A
Seattle, WA 98122
Phone (206) 464-0472
301 E Pike St
#A
Seattle, WA 98122
Phone (206) 464-0472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.012091 | IL | Yes |
Addresses
Primary practice location
1700 E College Ave Ste 3
Normal, IL 61761-6184
Mailing address
8309 N Knoxville Ave
Peoria, IL 61615-2170
Phone (309) 693-9540
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.