Scott Eye Care LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SCOTT EYE CARE LTD.

Practice address

1335 Douglas Rd
Suite E
Montgomery, IL 60538-1634

Phone

(630) 844-0908

Fax

(630) 844-0677

NPI assigned

May 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chula Lerdvoratavee, O.D.NPI 1346230604

Title

President

Phone

(630) 844-0908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chula Lerdvoratavee, O.D.

  • Optometrist
  • Oswego, IL
  • NPI 1346230604
  Medicare reassignment Care Compare group Authorized official
• Vasana Lerdvoratavee, O.D.

  • Vision Therapy Optometrist
  • Montgomery, IL
  • NPI 1356332423
  Medicare reassignment Care Compare group
• Ronald S. Weingart

  • Optometrist
  • Oswego, IL
  • NPI 1639169998
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013121433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 DOUGLAS RD",
            "address_2": "SUITE E",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381634",
            "telephone_number": "630-844-0908",
            "fax_number": "630-844-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DOUGLAS RD",
            "address_2": "SUITE E",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381634",
            "telephone_number": "630-844-0908",
            "fax_number": "630-844-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT EYE CARE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LERDVORATAVEE",
        "authorized_official_first_name": "CHULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-844-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams West Inc
• Margaret Sanft, MS, CCC-SLP/L
• Sandra Sarmiento
• Katelyn Alexis Schaefer, OTR/L
• Neil Stewart Schlupp, DC
• Beth Seeley
• Kulsoom Shah
• Marcus Shamblin
• Lauryn Kelly Sherry
• Donna Slas, RPH

• Optometrist in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.