Dr Penporn Vongsvivut Reck, MD | |
345 College St Se, Suite C, Lacey, WA 98503-1014 | |
(360) 456-3200 | |
(360) 456-3894 |
Full Name | Dr Penporn Vongsvivut Reck |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 22 Years |
Location | 345 College St Se, Lacey, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811919871 | NPI | - | NPPES |
8511552 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD00049407 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Physicians Of Olympia Inc Ps | 8123916962 | 14 |
Entity Name | Eye Physicians Of Olympia Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821165911 PECOS PAC ID: 8123916962 Enrollment ID: O20040308000701 |
Mailing Address | Practice Location Address |
---|---|
Dr Penporn Vongsvivut Reck, MD 345 College St Se, Suite C, Lacey, WA 98503-1014 Ph: (360) 456-3200 | Dr Penporn Vongsvivut Reck, MD 345 College St Se, Suite C, Lacey, WA 98503-1014 Ph: (360) 456-3200 |
Dr. Stephen D Reck, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 345 College St Se, Suite C, Lacey, WA 98503 Phone: 360-456-3200 Fax: 360-456-3894 | |
Dr. Patrick Daniel Munson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 8050 Freedom Ln Ne Ste A, Lacey, WA 98516 Phone: 360-459-5274 | |
Dr. Gary Neal Scholes, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 345 College St Se, Suite C, Lacey, WA 98503 Phone: 360-456-3200 Fax: 360-456-3894 |