Individual provider · Type 1 NPI

Penporn Vongsvivut Reck, MD

Ophthalmology Physician · Lacey, WA

NPI number 1811919871 Active

Practice location

345 College St SE Ste C
Lacey, WA 98503-1014

Call (360) 456-3200 Map

Fax (360) 456-3894

Mailing address

345 College St SE, Suite C
Lacey, WA 98503-1014

Other practice locations

  • 215 Lilly Rd NE, Olympia, WA 98506-5030 · (360) 456-3200
  • 724 Columbia St NW Ste 100, Olympia, WA 98501-1291 · (360) 456-3200

Specialties and licenses

TaxonomyCodeLicense
Retina Specialist (Ophthalmology) Physician 207WX0107XMD00049407 (WA)
Ophthalmology Physician Primary 207W00000XMD00049407 (WA)

Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services,…

5 other providers at this address

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About NPI 1811919871

Penporn Vongsvivut Reck, MD's National Provider Identifier is 1811919871, issued on Jul 25, 2006. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Lacey, WA. The record was last updated on Apr 10, 2025.