Radiant Isight LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3326 Issued in MN

Legal business name

RADIANT ISIGHT LLC

Practice address

1750 Robert St S
West St Paul, MN 55118-3919

Phone

(815) 997-0164

NPI assigned

Feb 7, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Judy Chanthalangsy, OD

Title

Owner

Phone

(815) 997-0164

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1245654540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 EDGEBROOK AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551195046",
            "telephone_number": "815-997-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ROBERT ST S",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183919",
            "telephone_number": "815-997-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT ISIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "CHANTHALANGSY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-997-0164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie E Polak, MS
• Joshua Ponce
• Teresa Ann Puff, MSW, LICSW
• John O Punderson, MD
• Osama Qureshi
• Daniella Marie Rafnson, MSW, LICSW
• Mary Janine Rajkowski, RN BSN NATIONALLY CE
• Brian Redemske, PT, DPT
• Tara Jolynn Reopelle, MSW, LICSW
• Revival Housing LLC

• Optometrist in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.