Beverly Woltman, BCO

Primary specialty

OcularistTaxonomy code 156FX1700X

License

0631512 Issued in IL

Practice address

6800 S. Main Street
Suite LL5
Downers Grove, IL 60516

Phone

(630) 985-5008

NPI assigned

Mar 6, 2012

Last updated

Sep 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Artistic Eye, LLC

  • Ocularist
  • Downers Grove, IL
  • NPI 1902156896
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1396019469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 CAMBRIDGE WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401047",
            "telephone_number": "630-914-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 S. MAIN STREET",
            "address_2": "SUITE LL5",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60516",
            "telephone_number": "630-985-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTMAN",
        "first_name": "BEVERLY",
        "credential": "BCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": "IL",
            "license": "0631512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colten Wolf
• Stephanie Wolff, PA-C
• Cynthia Ann Wollenschlager, M.D.
• Wolowick Womens Health (MAIA gynecology)
• Karen E Wolowick, DO
• Women OB GYN Associates PC
• Womens Health Institute of Illinois LTD
• Bobby J Wood, LCPC
• Sydnei Woodly, M.A., LCPC
• Samantha Woodward, PT, DPT

• Technician/Technologist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Technician/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.