MEDICARE: MJSZ OPTOMETRIST LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1750036570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MJSZ OPTOMETRIST LTD

Provider Business Mailing Address
First Line	:	132 E ARMY TRAIL RD
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1647
Country	:	US
Telephone Number	:	630-935-3288
Fax Number	:	630-866-1229

Provider Business Practice Location Address
First Line	:	132 E ARMY TRAIL RD
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1647
Country	:	US
Telephone Number	:	630-935-3288
Fax Number	:	630-866-1229

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. SAHER SAYED
Credential	:	OD
Telephone Number	:	630-935-3288

Provider Enumeration Date	:	02/21/2022
Last Update Date	:	06/08/2022

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