Dr Vasana Lerdvoratavee, OD is a medicare enrolled "Optometrist - Vision Therapy" provider in Montgomery, Illinois. Her current practice location is
1335 Douglas Rd, Suite E, Montgomery, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 844-0908.
Dr Vasana Lerdvoratavee is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356332423.
Healthcare Provider's Profile
| Full Name | Dr Vasana Lerdvoratavee |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1335 Douglas Rd, Montgomery, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Vasana Lerdvoratavee attended and graduated from in
NPI Data:
- NPI Number: 1356332423
- Provider Enumeration Date: 10/28/2005
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Vasana Lerdvoratavee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356332423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (Illinois) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (Illinois) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Vasana Lerdvoratavee is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Vasana Lerdvoratavee, OD
1335 Douglas Rd, Suite E,
Montgomery, IL 60538-1634
Ph: (630) 844-0908 | Dr Vasana Lerdvoratavee, OD
1335 Douglas Rd, Suite E,
Montgomery, IL 60538-1634
Ph: (630) 844-0908 |
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