| Scott Eye Care Ltd. | |
|
1335 Douglas Rd, Suite E, Montgomery, IL 60538-1634 | |
| (630) 844-0908 | |
| (630) 844-0677 |
| Full Name | Scott Eye Care Ltd. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1335 Douglas Rd, Montgomery, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013121433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Illinois) | Primary |
| Provider Name | Ronald Weingart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639169998 PECOS PAC ID: 1153365622 Enrollment ID: I20101019000758 |
| Provider Name | Vasana Lerdvoratavee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356332423 PECOS PAC ID: 4183714629 Enrollment ID: I20101213000353 |
| Provider Name | Chula Lerdvoratavee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346230604 PECOS PAC ID: 1557451093 Enrollment ID: I20110215001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Eye Care Ltd. 1335 Douglas Rd, Suite E, Montgomery, IL 60538-1634 Ph: (630) 844-0908 | Scott Eye Care Ltd. 1335 Douglas Rd, Suite E, Montgomery, IL 60538-1634 Ph: (630) 844-0908 |
Dr. Vasana Lerdvoratavee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1335 Douglas Rd, Suite E, Montgomery, IL 60538 Phone: 630-844-0908 Fax: 630-844-0677 | |
Kevin Goodwin, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1050 Ogden Ave, Montgomery, IL 60538 Phone: 630-449-1955 |