Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Penporn Vongsvivut Reck, MD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1811919871

Dr. Penporn Vongsvivut Reck, MD is an Ophthalmology in Lacey, Washington. Graduated from University of Michigan Medical School in 2002, 24 years ago. Practices with Eye Physicians of Olympia Inc Ps, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Trained at
University of Michigan Medical School
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

345 College St SE Ste C
Lacey, WA 98503-1014
Phone: (360) 456-3200
Fax: (360) 456-3894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 724 Columbia St Nw Ste 100, Olympia, WA 98501-1291 — (360) 456-3200
  • 215 Lilly Rd Ne, Olympia, WA 98506-5030 — (360) 456-3200

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD00049407 (WA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence MD00049407 (WA)

Record details

NPI number1811919871
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2002 (24 years in practice)
Group practice Eye Physicians Of Olympia Inc Ps — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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