Judy Chanthalangsy, OD | |
6560 E State St, Rockford, IL 61108-2545 | |
(815) 997-0164 | |
Not Available |
Full Name | Judy Chanthalangsy |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 8 Years |
Location | 6560 E State St, Rockford, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053666818 | NPI | - | NPPES |
000000783972 | Other | KY | ANTHEM |
7100209960 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1888DT (Kentucky) | Secondary |
152W00000X | Optometrist | 046.011481 (Illinois) | Primary |
Provider Name | Jc Vision Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871262477 PECOS PAC ID: 7416345400 Enrollment ID: O20211025001044 |
Mailing Address | Practice Location Address |
---|---|
Judy Chanthalangsy, OD 1592 Hunting Hound Ln, Bartlett, IL 60103-1855 Ph: (815) 997-0164 | Judy Chanthalangsy, OD 6560 E State St, Rockford, IL 61108-2545 Ph: (815) 997-0164 |
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Dr. Anna Katrina Pamula, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1603 N Alpine Rd Ste 121, Rockford, IL 61107 Phone: 815-397-5959 | |
Dr. Charvi D. Patel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1603 N Alpine Rd, Suite 121, Rockford, IL 61107 Phone: 815-397-5959 | |
Dr. Vincent R Facchiano, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: E265 Cherryvale Mall, Rockford, IL 61112 Phone: 815-332-2223 Fax: 815-332-4488 | |
Center For Sight & Hearing Optometrist Medicare: Medicare Enrolled Practice Location: 8038 Macintosh Ln, Rockford, IL 61107 Phone: 815-332-6800 Fax: 815-332-6810 | |
Pearson Vision Care, Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6560 E State St, Rockford, IL 61108 Phone: 815-218-6210 Fax: 815-227-1986 |