DR. Chula Lerdvoratavee, O.D.

NPI #1346230604 in Oswego, Illinois

Provider Information

NPI Number: 1346230604
Entity Type: Individual
Name: DR. Chula Lerdvoratavee, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 26, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 2075 WIESBROOK RD
City: Oswego
State: Illinois
ZIP Code: 60543-8312
Phone: (630) 844-0908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist	152W00000X	Primary

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