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
279 N GARDNER ST, SUITE 2, SCOTTSBURG, IN 47170-1322
(812) 752-5106
(812) 752-5132
Mailing address
279 N GARDNER ST, SUITE 2, SCOTTSBURG, IN 47170-1322
(812) 752-5106
(812) 752-5132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200502740C
—
IN
Enumeration date
04/11/2011
Last updated
02/19/2014
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