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 AND OPTOMETRIST)
(502) 459-2020
Entity
Organization
Contact information
Practice address
600 S MAIN ST, SALEM, IN 47167-1040
(812) 883-2700
(812) 883-2752
Mailing address
600 S MAIN ST, SALEM, IN 47167-1040
(812) 883-2700
(812) 883-2752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
200502740A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200502740A
—
IN
05
—
MANAGED HEALTH
—
IN
05
—
N300116
—
IN
Enumeration date
11/22/2006
Last updated
02/19/2014
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