DR. VASANA LERDVORATAVEE (O.D.) – Vision Therapy Optometrist, NPI 1356332423

DR. VASANA LERDVORATAVEE (O.D.) is a healthcare provider. based in Montgomery, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. The NPI Number for DR. VASANA LERDVORATAVEE (O.D.) is 1356332423

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. VASANA LERDVORATAVEE (O.D.)
NPI
1356332423
Phone
(630) 844-0908
Address
1335 DOUGLAS RD
Enumeration Date
28 October 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6308440908
Graduation Year
1994 (32 years ago)
PAC ID
4183714629
Group Practice PAC ID
8123118650
Professional Enrollment ID
I20101213000353
Address ID
IL605438312OS2075XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:20State licenses:0Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. VASANA LERDVORATAVEE (O.D.)

  • 1335, Douglas Road, Montgomery, Aurora Township, Kane County, Illinois, 60538, United States

    SUITE E

    MONTGOMERY, IL 605381634

    Phone: (630) 844-0908

    Fax: (630) 844-0677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: CooperVision Inc. ($162).

Total Amount

$191

General + Research + Ownership

Payments

8

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101213000353IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 60538)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123118650View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

How is DR. VASANA LERDVORATAVEE (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. VASANA LERDVORATAVEE (O.D.) with NPI 1356332423.
Does CMS list DR. VASANA LERDVORATAVEE (O.D.) as active?
Yes — DR. VASANA LERDVORATAVEE (O.D.) is active in the NPI listing used on this page.
What healthcare role does DR. VASANA LERDVORATAVEE (O.D.) hold?
Scheduling teams often label DR. VASANA LERDVORATAVEE (O.D.) under Vision Therapy Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. VASANA LERDVORATAVEE (O.D.) based?
DR. VASANA LERDVORATAVEE (O.D.) is tied to Montgomery, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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