BEVERLY WOLTMAN (NPI# 1396019469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396019469 |
| Entity Type | Individual |
| Full Name | BEVERLY WOLTMAN |
| Credential | BCO |
| Practice Address |
6800 S. Main Street Suite Ll5 Downers Grove IL 60516 |
| Mailing Address |
573 Cambridge Way Bolingbrook IL 60440-1047 |
| Practice Telephone | 6309855008 |
| Mailing Telephone | 6309144144 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
0631512 | IL | Eye and Vision Services Providers |
| Street Address |
6800 S. MAIN STREET SUITE LL5 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902156896 | Artistic Eye, LLC | Technician/Technologist | 6800 S. Main Street, Suite Ll-5, Downers Grove, IL 60516-3593 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
| 1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
| 1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
| 1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
| 1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
| 1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
| 1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
| 1154579811 | Alpha Medical LLC | Clinical Medical Laboratory | 8635 Lemont Road, Downers Grove, IL 60516 | 2008-09-05 |
| Find all providers in zip 60516 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922432731 | Magdy Mina | Technician/Technologist | 1525c Ogden Ave, Downers Grove, IL 60515 | 2013-08-28 |
| 1902156896 | Artistic Eye, LLC | Technician/Technologist | 6800 S. Main Street, Suite Ll-5, Downers Grove, IL 60516-3593 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184783227 | Patrick Adkins | Technician/Technologist | 2434 E Dempster St, #206, Des Plaines, IL 60016-5316 | 2006-12-06 |
| 1972550390 | Lights Prosthetic Eyes Inc | Technician/Technologist | 1318 W Candletree Dr, Ste 3, Peoria, IL 61614-8509 | 2006-05-30 |
| 1447294483 | Benjamin Leroy Light | Technician/Technologist | 1318 W Candletree Dr, Suite 3, Peoria, IL 61614-8508 | 2006-06-16 |
| 1124060074 | Randy L Light | Technician/Technologist | 1318 W Candletree Dr, Suite 3, Peoria, IL 61614-8508 | 2006-06-12 |
| City | DOWNERS GROVE |
| Zip Code | 60516 |
Please comment or provide details below to improve the information on BEVERLY WOLTMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.