Lerdvoratavee, Vasana

Lerdvoratavee, Vasana is an individual health care provider with primary practice located at 1335 Douglas Rd Suite E, Montgomery IL 60538-1634. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Lerdvoratavee, Vasana can be contacted via phone (630) 844-0908.

Contact Information

Primary practice address
1335 Douglas Rd Suite E Montgomery IL 60538-1634
Phone: (630) 844-0908
Fax: (630) 844-0677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Illinois
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X Illinois
Eye and Vision Services Providers / Vision Therapy 152WV0400X Illinois

Profile Details

NPI number 1356332423
LBN Legal business name Lerdvoratavee, Vasana
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 2007 - about 17 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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