Mariam Ethezaz, OD
NPI 1962996181ActiveIndividual· Optometrist· Glenview, IL
Optometrist (OD) in Glenview, Illinois, trained at Illinois College of Optometry at Chicago (class of 2018). Enrolled in Medicare as practitioner - optometry. Johnson & Johnson Vision Care, Inc. reported $13.96 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1962996181 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jun 20, 2018 |
| Last updated in NPPES | Aug 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046011188 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (IL) |
|---|
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
- 2025$13.96 · 1 payment from 1 company
- 2024$82.58 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Johnson & Johnson Vision Care, Inc. | $13.96 | 1 |
What the 2025 payments were for
- Food and Beverage$13.96 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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