Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHULA LERDVORATAVEE, O.D.
ActiveDR. CHULA LERDVORATAVEE, O.D. is a Optometrist healthcare provider located in OSWEGO, Illinois. NPI 1346230604 is currently active in the NPPES registry. Verify at CMS.
Optometrist · OSWEGO, IL
Registration Details
- NPI Number
- 1346230604
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2005 (20.81988471947 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
046-007841 (IL)046-007841 (IL)046-007841 (IL)
Practice Information
- Address
-
2075 WIESBROOK RDOSWEGO, IL, 605438312Browse IL providers · Browse ZIP 60543
- Phone
- 6308440908
- Fax
- 6308440677
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Corneal & Contact Management Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in OSWEGO, IL
| Name | Credential | NPI |
|---|---|---|
| RONALD S. WEINGART | — | 1639169998 |
| STEVE GUSTAFSON | O.D. | 1609948975 |
| MICHELLE L SANTUCCI | OD | 1659528016 |
| VICTORIA ROSE WENZEL | O.D. | 1568727311 |
| DR. RYAN LE | — | 1043575327 |
| JAISON PANICKER | O.D. | 1093060097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.