Individual
DR. ROD RALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-5925
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-5925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0936DT
KY
332H00000X
Eyewear Supplier
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350896
ANTHEM BCBS
KY
01
—
0936DT
OD LICENSE NUMBER
KY
05
—
77009363
—
KY
01
—
P00202733
RR MEDICARE
KY
Enumeration date
08/16/2005
Last updated
02/19/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us