Organization
LOUISVILLE OPTOMETRIC CENTERS III, PSC
Active
Other names
Vision First
Organization subpart
No
Provider details
NPI number
Authorized official
ROD RALLO OD (PRESIDENT OD OWNER)
(502) 459-2020
Entity
Organization
Contact information
Practice address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 451-0332
(502) 456-9121
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 451-0332
(502) 456-9121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200502740
—
IN
05
—
300024371
—
IN
05
—
7100010580
—
KY
Enumeration date
08/16/2005
Last updated
04/19/2022
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