Doelman, Maria T

Doelman, Maria T is an individual health care provider with primary practice located at 3450 Lacey Rd , Downers Grove IL 60515-5430. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Doelman, Maria T can be contacted via phone (630) 743-4807.

Contact Information

Primary practice address
3450 Lacey Rd Downers Grove IL 60515-5430
Phone: (630) 743-4807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010822 Illinois
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 046010822 Illinois

Profile Details

NPI number 1871908863
LBN Legal business name Doelman, Maria T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2014
Last updated Dec 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871908863 NPPES
Illinois MEDICAID 046010822

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