Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Wang Bult

Individual provider Optometrist · NPI 1902544265

Katelyn Wang Bult is an Optometry in Chicago, Illinois. Graduated from Illinois College of Optometry at Chicago in 2022, 4 years ago. Practices with Myeyedr Optometry of Illinois LLC, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

5408 N Clark St
Chicago, IL 60640-1210
Phone: (773) 275-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2842 N Sheridan Rd, Chicago, IL 60657-6174 — (773) 975-4300

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011623 (IL)

Record details

NPI number1902544265
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2022 (4 years in practice)
Group practice Myeyedr Optometry Of Illinois Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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