Organization
LOUISVILLE OPTOMETRIC CENTERS III, PSC
Active
Other names
VISIONFIRST
Organization subpart
No
Provider details
NPI number
Authorized official
ROD RALLO OD (OWNER)
(502) 459-2020
Entity
Organization
Contact information
Practice address
3550 E 10TH ST, JEFFERSONVILLE, IN 47130-9315
(812) 590-6810
(812) 590-6762
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-9121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300024371
—
IN
Enumeration date
10/21/2019
Last updated
03/02/2021
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