VIENGSAMAY J CHAMLEUNSOUK (NPI# 1265641328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265641328 |
| Entity Type | Individual |
| Full Name | VIENGSAMAY J CHAMLEUNSOUK |
| Practice Address |
601-635 Harry L Dr Sterling Optical Johnson City NY 13790 |
| Mailing Address |
864 Riverside Dr Johnson City NY 13790-1824 |
| Practice Telephone | 6077299179 |
| Mailing Telephone | 6077708580 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
0083201 | NY | Eye and Vision Services Providers |
| Street Address |
601-635 HARRY L DR STERLING OPTICAL |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346397635 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 601-635 Harry L Dr, Oakdale Mall, Johnson City, NY 13790-1246 | 2007-01-05 |
| 1801156674 | Oakdale Mall Dental LLP | Dentist | 601-635 Harry L Dr, 46, Johnson City, NY 13790-1246 | 2012-05-25 |
| 1649313867 | Gerald Donald Prudhomme | Optometrist | 601-635 Harry L Dr, Suite 55, Johnson City, NY 13790-1246 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780712737 | Emerging Vision | Technician/Technologist | Reynolds Road, Oakdale Mall, Johnson City, NY 13790-1299 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217451 | Luxeye Optical LLC | Technician/Technologist | 25121 Northern Blvd, Little Neck, NY 11362-1354 | 2020-08-25 |
| 1952946626 | Bryan Reshawn Trusell | Technician/Technologist | 252 Java St Ste 222, Brooklyn, NY 11222-5598 | 2019-11-16 |
| 1871058388 | Win Vision Boutique LLC | Technician/Technologist | 22 Clifton Country Rd Ste 175, Clifton Park, NY 12065-3864 | 2019-02-08 |
| 1639672058 | Eye Go Optical | Technician/Technologist | 989 Liberty Ave, Brooklyn, NY 11208-2731 | 2018-03-12 |
| 1508233214 | Nyc Optic | Technician/Technologist | 2135 Coney Island Ave, Brooklyn, NY 11223-3331 | 2015-08-28 |
| 1720468176 | Michelle Q Miu | Technician/Technologist | 219 Canal St Fl 3, New York, NY 10013-4114 | 2015-06-01 |
| 1871996504 | Paul Anthony Battiste Jr. | Technician/Technologist | 67 8th Ave, New York, NY 10014-1226 | 2014-10-08 |
| 1861838575 | Felicia Mateo I | Technician/Technologist | 2524 Radcliff Ave, Bronx, NY 10469-4206 | 2013-05-21 |
| 1730400169 | Bruce Alan Pfeffer | Technician/Technologist | 9 Old Post Rd, Fairport, NY 14450-2920 | 2010-06-21 |
| 1720319312 | Marvin Slomowitz | Technician/Technologist | 1221 E 9th St, Brooklyn, NY 11230-5107 | 2010-01-20 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on VIENGSAMAY J CHAMLEUNSOUK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.