Organization
LOUISVILLE OPTOMETRIC CENTERS, III PSC
Active
Other names
VisionFirst
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROD L. RALLO O.D. (OWNER)
(502) 459-2020
Entity
Organization
Contact information
Practice address
5023 MUD LANE, SUITE 110, LOUISVILLE, KY 40229-2870
(502) 968-2015
(502) 964-1915
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
Primary
1670DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77903888
—
KY
Enumeration date
01/08/2007
Last updated
02/19/2014
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