IndividualActive
Beverly Woltman, BCO
NPI 1396019469 · Ocularist · Downers Grove, IL
Provider details
- NPI number
- 1396019469
- Entity type
- Individual
- Primary specialty
- OcularistEye and Vision Services Providers
- Credential
- BCO
- Sex
- Female
- Sole proprietor
- No
- License
- 0631512 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
6800 S. Main Street
Suite Ll5
Downers Grove, IL 60516
Phone: (630) 985-5008
Approximate (ZIP-level) locationGet directions
Mailing address
573 Cambridge Way
Bolingbrook, IL 60440-1047
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.