Organization
LOUISVILLE OPTOMETRIC CENTERS III PSC
Active
Other names
VisionFirst
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROD L. RALLO OD (OWNER)
(502) 813-8910
Entity
Organization
Contact information
Practice address
2525 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9120
(270) 287-2020
(270) 259-5660
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-5925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1450DT
KY
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77903896
—
KY
Enumeration date
01/08/2007
Last updated
11/30/2015
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