Judy Chanthalangsy, O.D. Valid NPI

Individual provider · Optometrist · Rockford, IL

NPI

1053666818

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

046.011481 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2012-07-18

Last updated

2021-09-24