Dr. Penporn Vongsvivut Reck is a Lacey, Washington based female Ophthalmologist with 22 years of experience in Ophthalmology. She completed her graduation from University Of Michigan Medical School in 2002. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Penporn Vongsvivut Reck is MD00049407 for Ophthalmology in Washington. Dr. Penporn Vongsvivut Reck is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Penporn Vongsvivut Reck speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
MD
Experience:
22+ years
Medical School Attended:
University Of Michigan Medical School
Graduation Year:
2002
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
345 College St Se, Suite C, Lacey, Washington, 98503-1014
Phone:
360-456-3200
Fax:
360-456-3894
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5991700791
Enrollment ID:
I20080723000329
NPI Number:
1811919871
NPI Enumeration Date:
25 Jul, 2006
NPI Last Update On:
17 Nov, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Penporn Vongsvivut Reck are as mentioned below.
License Number
Specialization
State
Status
MD00049407
Ophthalmology
Washington
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Penporn Vongsvivut Reck has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eye Physicians Of Olympia Inc Ps (8123916962)
10
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Penporn Vongsvivut Reck such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8511552
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
345 College St Se, Suite C Lacey, Washington
Zip:
98503-1014
Phone Number:
360-456-3200
Fax Number:
360-456-3894
Patients can reach Dr. Penporn Vongsvivut Reck at 345 College St Se, Suite C, Lacey, Washington or can call to book an appointment on 360-456-3200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.