Organization
JC VISION INC
Active
Other names
Rockford Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY CHANTHALANGSY (OWNER)
(815) 997-0164
Entity
Organization
Contact information
Practice address
6560 E STATE ST, ROCKFORD, IL 61108-2545
(815) 227-1820
Mailing address
1592 HUNTING HOUND LN, BARTLETT, IL 60103-1855
(815) 997-0164
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/23/2021
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