Organization
RADIANT ISIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY CHANTHALANGSY OD (OWNER)
(815) 997-0164
Entity
Organization
Contact information
Practice address
1750 ROBERT ST S, WEST ST PAUL, MN 55118-3919
(815) 997-0164
Mailing address
2191 EDGEBROOK AVE, SAINT PAUL, MN 55119-5046
(815) 997-0164
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3326
MN
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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