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Whitney Wallace, OD
NPI 1902545320 · Optometrist · Bolingbrook, IL
Whitney Wallace, OD is a Optometrist provider in Bolingbrook, IL (NPI 1902545320).
Provider details
- NPI number
- 1902545320
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 046011612 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
724 E Boughton Rd
Bolingbrook, IL 60440-2279
Phone: (630) 633-5631
Street-level locationGet directions
Mailing address
21 Spinning Wheel Rd Apt 6b
Hinsdale, IL 60521-7639
Registry dates
- Enumerated
- 2022-06-02
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Frequently asked questions
- What is Whitney Wallace's NPI number?
- Whitney Wallace's National Provider Identifier (NPI) is 1902545320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Whitney Wallace's specialty?
- Whitney Wallace is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Whitney Wallace located?
- Whitney Wallace's practice location on file with NPPES is 724 E Boughton Rd, Bolingbrook, IL 60440-2279.
- What is Whitney Wallace's phone number?
- The practice phone number listed in the NPPES registry for Whitney Wallace is (630) 633-5631.
- Is Whitney Wallace's NPI active?
- Yes — Whitney Wallace's NPI (1902545320) is active in the NPPES registry as of the last update on 2022-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.