Individual provider · Type 1 NPI

Beverly Woltman, BCO

Ocularist · Downers Grove, IL

NPI number 1396019469 Active

Practice location

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

Mailing address

573 Cambridge Way
Bolingbrook, IL 60440-1047

Specialties and licenses

TaxonomyCodeLicense
Ocularist Primary 156FX1700X0631512 (IL)

Ocularist: An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.

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About NPI 1396019469

Beverly Woltman, BCO's National Provider Identifier is 1396019469, issued on Mar 6, 2012. The primary taxonomy on file is Ocularist (156FX1700X), and the practice location is in Downers Grove, IL. The record was last updated on Sep 1, 2020.