Dr. Penporn Vongsvivut Reck
MD | Retina Specialist | 24+ years Exp
Medicare Enrolled 345 College St Se Ste C, Lacey
Washington, 98503-1014
360-456-3200 360-456-3894
Maps & DirectionsDr. Penporn Vongsvivut Reck is a Lacey, Washington based Retina Specialist with 24 years of experience in Retina Specialist. 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 specializes in the diagnosis and treatment of vitreoretinal diseases. This subspecialty includes the medical and surgical management of retinal and vitreous diseases, including retinal detachment, diabetic retinopathy, macular degeneration, and other disorders of the retina and vitreous.
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: | Retina Specialist |
| Credentials: | MD |
| Experience: | 24+ years |
| Medical School Attended: | University Of Michigan Medical School |
| Graduation Year: | 2002 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 345 College St Se Ste 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: | 10 Apr, 2025 |
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 | |
| MD00049407 | Retina Specialist | Washington | Secondary | |
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 Ste C, Lacey, Washington or can
call to book an appointment on 360-456-3200.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Penporn Vongsvivut Reck below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Penporn Vongsvivut Reck. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.