Organization Active NPI

Village Eye Care LLC

  • Optometrist
  • Saint Paul, MN
National Provider Identifier
1306218995
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3326 Issued in MN
Legal business name
VILLAGE EYE CARE LLC
Practice address
1001 Johnson Pkwy Ste B15
Saint Paul, MN 55106-3696
Phone
(815) 997-0164
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Judy Chanthalangsy, O.D.
Title
Optometrist/Owner
Phone
(815) 997-0164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3326 MN Primary

Addresses

Primary practice location

1001 Johnson Pkwy Ste B15
Saint Paul, MN 55106-3696

Mailing address

8361 9TH St N
Oakdale, MN 55128-5393

National Provider Directory

National Provider Directory

Locations

1001 Johnson Pkwy
Ste B15
Saint Paul, MN 55106
Phone (815) 997-0164

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1306218995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 9TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY STE B15",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063696",
            "telephone_number": "815-997-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "CHANTHALANGSY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "815-997-0164",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.