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WANWALEE CHAROENCHOTE O.D.
NPI 1104072206
Optometrist in Las Vegas, NV

Active since August 08, 2008PECOS Enrolled
4000 MEADOWS LN, LAS VEGAS, NV 89107(702) 259-4287(702) 878-8445 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanwalee Charoenchote O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANWALEE CHAROENCHOTE O.D. (NPI 1104072206) is an individual optometrist in Las Vegas, Nevada, licensed in Nevada (593) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104072206
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameWANWALEE CHAROENCHOTECredential: O.D.
Location Address4000 MEADOWS LNLas Vegas, NV 89107-3108
Mailing Address5820 Prospector TrlLas Vegas, NV 89118-2052 · (702) 501-7613
Phone(702) 259-4287
Fax(702) 878-8445
Sole ProprietorNo
Enumeration DateAugust 8, 2008
Last NPPES UpdateApril 18, 2016
✔ NPI 1104072206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NV · 593
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4000 MEADOWS LN, Las Vegas, NV 89107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanwalee Charoenchote O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA JEZIORSKI
Audiologist
4000 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 259-4944

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanwalee Charoenchote's NPI number?

The NPI number for Wanwalee Charoenchote is 1104072206. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Where is Wanwalee Charoenchote located?

Wanwalee Charoenchote practices at 4000 Meadows Ln, Las Vegas, NV 89107. The listed phone number is (702) 259-4287.

What is Wanwalee Charoenchote's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Wanwalee Charoenchote enrolled in Medicare?

Yes. Wanwalee Charoenchote is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wanwalee Charoenchote was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.