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

Judy Chanthalangsy, OD

Individual provider Optometrist · NPI 1053666818

Judy Chanthalangsy, OD is an Optometry in Rockford, Illinois. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Illinois and Kentucky.

Years since qualifying
10
Licensed in
IL, KY
In the registry since
2012
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6560 E State St
Rockford, IL 61108-2545
Phone: (815) 997-0164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.011481 (IL)
Optometrist Taxonomy 152W00000X · Licence 1888DT (KY)

Record details

NPI number1053666818
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 18, 2012
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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