Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VASANA LERDVORATAVEE, O.D.
ActiveDR. VASANA LERDVORATAVEE, O.D. is a Vision Therapy Optometrist healthcare provider located in MONTGOMERY, Illinois. NPI 1356332423 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · MONTGOMERY, IL
Registration Details
- NPI Number
- 1356332423
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2005 (20.814383821014 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
1335 DOUGLAS RDSUITE EMONTGOMERY, IL, 605381634Browse IL providers · Browse ZIP 60538
- Phone
- 6308440908
- Fax
- 6308440677
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
- Additional Specialty
- Corneal & Contact Management Optometrist
- Additional Specialty
- Vision Therapy Optometrist
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.