DR. CHULA LERDVORATAVEE O.D.
NPI 1346230604
Optometrist in Oswego, IL

Q: What is Chula Lerdvoratavee's NPI number?

The NPI number for Chula Lerdvoratavee is 1346230604. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Q: What is Chula Lerdvoratavee's specialty?

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

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment

2075 WIESBROOK RD, OSWEGO, IL 60543(630) 844-0908(630) 844-0677 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Chula Lerdvoratavee O.d. NPPES

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

DR. CHULA LERDVORATAVEE O.D. (NPI 1346230604) is an individual optometrist in Oswego, Illinois, licensed in Illinois (046-007841) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1985).

NPPES Registry Identity

NPI1346230604

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. CHULA LERDVORATAVEECredential: O.D.

Location Address2075 WIESBROOK RDOswego, IL 60543-8312

Mailing Address2075 Wiesbrook RdOswego, IL 60543-8312 · (630) 844-0908 · Fax (630) 844-0677

Phone(630) 844-0908

Fax(630) 844-0677

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1985

Enumeration DateOctober 26, 2005

Last NPPES UpdateJuly 21, 2022

NPPES CertifiedJuly 21, 2022

✔ NPI 1346230604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046-007841

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 046-007841 (IL)

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 046-007841 (IL)

2075 WIESBROOK RD, Oswego, IL 60543

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chula Lerdvoratavee O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557451093

PECOS Enrollment IDI20110215001169

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 60543 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

DEVELOPMENTAL VISION CENTER INC

Optometrist (Vision Therapy)

2075 WIESBROOK RD
OSWEGO, IL 60543

Kendall County (630) 844-0908

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 Chula Lerdvoratavee's NPI number?

The NPI number for Chula Lerdvoratavee is 1346230604. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Chula Lerdvoratavee located?

Chula Lerdvoratavee practices at 2075 Wiesbrook Rd, Oswego, IL 60543. The listed phone number is (630) 844-0908.

What is Chula Lerdvoratavee's specialty?

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

Is Chula Lerdvoratavee enrolled in Medicare?

Yes. Chula Lerdvoratavee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Chula Lerdvoratavee accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Chula Lerdvoratavee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chula Lerdvoratavee was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.