JUDY CHANTHALANGSY O.D.
NPI 1053666818
Optometrist in Rockford, IL

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
6560 E STATE ST, ROCKFORD, IL 61108(815) 997-0164 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judy Chanthalangsy O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY CHANTHALANGSY O.D. (NPI 1053666818) is an individual optometrist in Rockford, Illinois, licensed in Illinois (046.011481) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053666818
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJUDY CHANTHALANGSYCredential: O.D.
Location Address6560 E STATE STRockford, IL 61108-2545
Mailing Address1592 Hunting Hound LnBartlett, IL 60103-1855 · (815) 997-0164
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 18, 2012
Last NPPES UpdateSeptember 24, 2021
NPPES CertifiedSeptember 24, 2021
NPI 1053666818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in IL · 046.011481 Licensed in KY · 1888DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6560 E STATE ST, Rockford, IL 61108

Other Identifiers 2

Other000000783972KY · Anthem
Medicaid7100209960KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Judy Chanthalangsy O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113173998
PECOS Enrollment IDI20211025001105
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
6560 E STATE ST
ROCKFORD, IL 61108
Pharmacist
6560 E STATE ST
ROCKFORD, IL 61108
Pharmacist
6560 E STATE ST
ROCKFORD, IL 61108
Eyewear Supplier
6560 E STATE ST
ROCKFORD, IL 61108
Pharmacist
6560 E STATE ST
ROCKFORD, IL 61108
Optometrist
6560 E STATE ST
ROCKFORD, IL 61108
Pharmacy
6560 E STATE ST
ROCKFORD, IL 61108
Pharmacist
6560 E STATE ST, T-0810
ROCKFORD, IL 61108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Chanthalangsy's NPI number?

The NPI number for Judy Chanthalangsy is 1053666818. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Judy Chanthalangsy located?

Judy Chanthalangsy practices at 6560 E State St, Rockford, IL 61108. The listed phone number is (815) 997-0164.

What is Judy Chanthalangsy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Judy Chanthalangsy enrolled in Medicare?

Yes. Judy Chanthalangsy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Judy Chanthalangsy accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Judy Chanthalangsy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Judy Chanthalangsy was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.