1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Optometrist
  6. NPI Profile

ROCKFORD OPTOMETRY
NPI 1871262477
Optometrist in Rockford, IL

Active since September 08, 2021
6560 E STATE ST, ROCKFORD, IL 61108(815) 227-1820 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2021, Sep 8, 2021 (2 updates tracked since 2021).

About Rockford Optometry NPPES

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

ROCKFORD OPTOMETRY (NPI 1871262477) is a healthcare organization registered as an optometrist in Rockford, Illinois and active in the NPI registry since September 2021. The organization lists Judy Chanthalangsy, Owner, as its authorized official.

NPPES Registry Identity

NPI1871262477
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJC VISION INC
Location Address6560 E STATE STRockford, IL 61108-2545
Mailing Address1592 Hunting Hound LnBartlett, IL 60103-1855 · (815) 997-0164
Phone(815) 227-1820
Organization SubpartNo
Authorized OfficialJudy ChanthalangsyOwner · (815) 997-0164
Enumeration DateSeptember 8, 2021
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1871262477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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
Open in Google Maps ↗

Other Names 1

Doing Business AsRockford Optometry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rockford Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20211025001044Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rockford Optometry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Judy Chanthalangsy, O.D.
Optometry
NPI 1053666818
6560 E STATE ST
Rockford, IL 61108
(815) 997-0164
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jc Vision Inc's NPI number?

The NPI number for Jc Vision Inc is 1871262477. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Rockford Optometry.

Where is Jc Vision Inc located?

Jc Vision Inc is located at 6560 E State St, Rockford, IL 61108. The listed phone number is (815) 227-1820.

What is Jc Vision Inc's specialty?

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

Is Jc Vision Inc enrolled in Medicare?

Yes. Jc Vision Inc is registered in the Medicare PECOS enrollment system.

When is Jc Vision Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jc Vision Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jc Vision Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jc Vision Inc was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.