LOUISVILLE OPTOMETRIC CENTERS, III PSC (NPI# 1467522029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467522029 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE OPTOMETRIC CENTERS, III PSC |
| Other Organization Name | VISIONFIRST |
| Practice Address |
5023 Mud Lane Suite 110 Louisville KY 40229-2870 |
| Practice Telephone | 5029682015 |
| Practice Fax Number | 5029641915 |
| Mailing Telephone | 5029682015 |
| Mailing Fax Number | 5029641915 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | DR. ROD L. RALLO (OWNER AND OPTOMETRIST) |
| Authorized Official Telephone | 5024592020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 5419240011 | KY | Suppliers |
| Other Name | Type Code |
|---|---|
| VisionFirst | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639227697 | Louisville Optometric Centers, IIi Psc | Optometrist | 162 Midland Blvd, Shelbyville, KY 40065-9734 | 2007-01-08 |
| 1952458218 | Louisville Optometric Centers, IIi Psc | Optometrist | 1303 Us Highway 127 S, Suite 108, Frankfort, KY 40601-4424 | 2007-01-05 |
| 1932279502 | Louisville Optometric Centers, IIi Psc | Eyewear Supplier (Equipment, not the service) | 12911 Shelbyville Rd, Louisville, KY 40243-1613 | 2006-11-09 |
| 1134111271 | Louisville Optometric Centers, IIi Psc | Eyewear Supplier (Equipment, not the service) | 4000 Poplar Level Rd, Louisville, KY 40213-1524 | 2005-08-16 |
| 1093183022 | Louisville Optometric Centers, IIi Psc | Optometrist | 1400 Poplar Level Rd, Louisville, KY 40217-1309 | 2015-09-08 |
| 1881079762 | Louisville Optometric Centers, IIi Psc | Eyewear Supplier (Equipment, not the service) | 6812 Dixie Hwy, Louisville, KY 40258-3914 | 2015-07-21 |
| 1114218377 | Louisville Optometric Centers, IIi Psc | Eyewear Supplier (Equipment, not the service) | 631 E Tipton St Ste 2, Seymour, IN 47274-3519 | 2011-04-22 |
| 1750672911 | Louisville Optometric Centers, IIi Psc | Eyewear Supplier (Equipment, not the service) | 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 | 2011-04-22 |
| 1992095012 | Louisville Optometric Centers, IIi Psc | Optometrist | 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 | 2011-04-11 |
| 1801186929 | Louisville Optometric Centers, IIi Psc | Optometrist | 631 E Tipton St, Suite 2, Seymour, IN 47274-3519 | 2011-04-11 |
| Street Address |
5023 MUD LANE SUITE 110 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40229-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336297308 | Louisville Optometric Centers, IIi Psc | Optometrist | 5023 Mud Lane, Suite 110, Louisville, KY 40229-2870 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1649472655 | Janice K Jones | Physical Therapy Assistant | 5111 Commerce Crossing Suite 100, Louisville, KY 40229 | 2007-06-01 |
| 1528102183 | R Douglas Edwards Jr. | Dentist | 3807 Freedom Way, Louisville, KY 40229 | 2007-02-16 |
| 1407833940 | Robert D Bretz | Radiology | 879 Old Preston Highway North, Louisville, KY 40229 | 2005-12-27 |
| 1134606619 | Brynn Ashley Dombroski | Behavioral Analyst | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-07-26 |
| 1669972923 | Mariah Evelyn Laird | Occupational Therapist | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-02-13 |
| 1992219174 | Noelle Allison Lang | Anesthesiology | 11901 Standiford Plaza Dr, Louisville, KY 40229 | 2017-11-26 |
| 1134664949 | Jessica Ann Mattingly | Nurse Practitioner | 170 Dr Arla Way, Louisville, KY 40229 | 2017-01-03 |
| 1356727929 | Meredith Kyle-alvey Luckett | Physical Therapist | 170 Dr Arla Way, Louisville, KY 40229 | 2015-08-06 |
| 1861688459 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9500 Preston Hwy, Louisville, KY 40229-1166 | 2007-09-18 |
| Find all providers in zip 40229 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399727 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7900 Shelbyville Rd Ste B15, Louisville, KY 40222-5461 | 2020-02-26 |
| 1194215764 | Opticouture LLC | Eyewear Supplier (Equipment, not the service) | 959 Vine Street, Louisville, KY 40204-2071 | 2018-05-18 |
| 1417384207 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 7945 Bardstown Rd, Louisville, KY 40291-3437 | 2013-10-11 |
| 1336492453 | Headwack LLC | Eyewear Supplier (Equipment, not the service) | 1958 Production Ct, Louisville, KY 40299-2104 | 2012-10-26 |
| 1699966994 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 4601b Proximity Dr, Louisville, KY 40213-2483 | 2007-08-05 |
| 1740316462 | Springer and Lee Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4917 Brownsboro Rd, Louisville, KY 40222-6465 | 2007-02-26 |
| 1285760926 | Middletown Eye Care Pllc | Eyewear Supplier (Equipment, not the service) | 13324 Shelbyville Rd, Louisville, KY 40223-3936 | 2007-02-26 |
| 1649305095 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 4100 Outer Loop, Louisville, KY 40219-3849 | 2007-02-23 |
| 1588799035 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 3554 Springhurst Blvd, Louisville, KY 40241-4141 | 2007-02-23 |
| 1275679417 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 7607 Shelbyville Road, Louisville, KY 40222 | 2007-01-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40229 |
Please comment or provide details below to improve the information on LOUISVILLE OPTOMETRIC CENTERS, III PSC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.