Individual
DR. VASANA LERDVORATAVEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1335 DOUGLAS RD, SUITE E, MONTGOMERY, IL 60538-1634
(630) 844-0908
(630) 844-0677
Mailing address
1335 DOUGLAS RD, SUITE E, MONTGOMERY, IL 60538-1634
(630) 844-0908
(630) 844-0677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
IL
152WC0802X
Corneal and Contact Management Optometrist
—
IL
152WV0400X
Vision Therapy Optometrist
Primary
—
IL
Other
Enumeration date
10/28/2005
Last updated
09/11/2025
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