Organization Active NPI

Artistic Eye, LLC

  • Ocularist
  • Downers Grove, IL
National Provider Identifier
1902156896
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
License
0631512 Issued in IL
Legal business name
ARTISTIC EYE, LLC
Practice address
6800 S. Main Street
Suite LL-5
Downers Grove, IL 60516-3593
Phone
(630) 985-5008
Fax
(630) 981-0458
NPI assigned
Sep 18, 2012
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Beverly Woltman, BCONPI 1396019469
Title
Manager/Owner
Phone
(630) 914-4144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ocularist 156FX1700X 0631512 IL Primary

Addresses

Primary practice location

6800 S. Main Street
Suite LL-5
Downers Grove, IL 60516-3593

Mailing address

573 Cambridge Way
Bolingbrook, IL 60440-1047
Phone (630) 914-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000923 IL DME Supplier - OcularistDME Supplier - Prosthetic Personnel 7113175001 Practice locations: Downers Grove, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Artistic Eye LLC6800 S Main Street, Downers Grove, IL 60516(630) 985-5008 Ocular Prostheses Does not accept assignmentParticipating since Jul 19, 2012

National Provider Directory

National Provider Directory

Locations

2861 83rd St
Darien, IL 60561
Phone (630) 427-1800

6800 Main St
Ste LL5
Downers Grove, IL 60516
Phone (630) 985-5008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1902156896",
    "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 LL-5",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163593",
            "telephone_number": "630-985-5008",
            "fax_number": "630-981-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISTIC EYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "WOLTMAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "630-914-4144",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": "IL",
            "license": "0631512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.