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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
4326 CHARLESTOWN RD # 2, NEW ALBANY, IN 47150-9568
(812) 945-0023
(812) 945-0291
Mailing address
4326 CHARLESTOWN RD, SUITE 2, NEW ALBANY, IN 47150-8542
(812) 945-0023
(812) 945-0291

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
200502740B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200502740
IN
05
200502740B
IN
05
300433
IN
Enumeration date
11/24/2006
Last updated
02/19/2014
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