DR. ROD RALLO (NPI# 1831181973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831181973 |
| Entity Type | Individual |
| Full Name | DR. ROD RALLO |
| Credential | OD |
| Practice Address |
4000 Poplar Level Rd Louisville KY 40213-1524 |
| Practice Telephone | 5024592020 |
| Practice Fax Number | 5024565925 |
| Mailing Telephone | 5024592020 |
| Mailing Fax Number | 5024565925 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0936DT | KY | Eye and Vision Services Providers |
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77009363 | 05 | |
| KY | OD LICENSE NUMBER | 0936DT | 01 |
| KY | ANTHEM BCBS | 000000350896 | 01 |
| KY | RR MEDICARE | P00202733 | 01 |
| Street Address |
4000 POPLAR LEVEL RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111271 | Louisville Optometric Centers, IIi Psc | Eyewear Supplier (Equipment, not the service) | 4000 Poplar Level Rd, Louisville, KY 40213-1524 | 2005-08-16 |
| 1568080315 | Rebecca M. Adams | Optometrist | 4000 Poplar Level Rd, Louisville, KY 40213-1524 | 2020-07-08 |
| 1194219063 | Julie M. Rallo | Optometrist | 4000 Poplar Level Rd, Louisville, KY 40213 | 2018-06-14 |
| 1033464458 | Sara L Pourheydarian | Optometrist | 4000 Poplar Level Rd, Louisville, KY 40213-1524 | 2012-07-23 |
| 1598020422 | Joseph Michael Hammond | Optometrist | 4000 Poplar Level Rd, Louisville, KY 40213-1524 | 2012-07-06 |
| 1487702437 | Louisville Optometric Centers, IIi | Optometrist | 4000 Poplar Level Rd, Louisville, KY 40213-1524 | 2007-01-08 |
| 1669545554 | Louisville Optometric Centers, IIi Psc | Eyewear Supplier (Equipment, not the service) | 4000 Poplar Level Rd, Louisville, KY 40213-1524 | 2006-11-16 |
| 1205828357 | Beth Anne Minton | Optometrist | 4000 Poplar Level Rd, Louisville, KY 40213-1524 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716212 | Madison Street Provider Network Inc | Optometrist | 1371 Hecla Dr Ste C, Louisville, CO 80027-2318 | 2020-10-01 |
| 1275150310 | Liza Stremick | Optometrist | 3701 Hopewell Rd Ste 900, Louisville, KY 40299-5395 | 2020-07-05 |
| 1063045284 | National Vision Inc | Optometrist | 10337 Dixie Hwy, Louisville, KY 40272-3951 | 2020-02-17 |
| 1821628835 | National Vision Inc | Optometrist | 10520 Westport Rd Ste 101, Louisville, KY 40241-1958 | 2020-01-17 |
| 1699320929 | Channing F Bucklew | Optometrist | 3090 N Church Ave, Louisville, MS 39339-6349 | 2019-08-05 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1679096812 | Zachery R Weinberg | Optometrist | 4414 Shelbyville Rd Ste 204, Louisville, KY 40207-5328 | 2017-07-19 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1477006971 | Romina A. Houston | Optometrist | 5023 Mud Ln Ste 110, Louisville, KY 40229-2800 | 2016-08-01 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
Please comment or provide details below to improve the information on DR. ROD RALLO.
| 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.