NPIMap

Organization Active NPI

Louisville Optometric Centers, III PSC

Doing business as VisionFirst

  • Eyewear Supplier
  • Leitchfield, KY
National Provider Identifier
1235209974
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
5419240008 Issued in KY
Legal business name
LOUISVILLE OPTOMETRIC CENTERS, III PSC
Doing business as
VisionFirst
Practice address
2525 Elizabethtown Rd
Leitchfield, KY 42754-9120
Phone
(270) 259-2020
Fax
(270) 259-5660
NPI assigned
Nov 9, 2006
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rod L. Rallo, O.D.NPI 1831181973
Title
Owner and Optometrist
Phone
(502) 459-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 5419240008 KY Primary

Addresses

Primary practice location

2525 Elizabethtown Rd
Leitchfield, KY 42754-9120

Mailing address

2525 Elizabethtown Rd
Leitchfield, KY 42754-9120
Phone (270) 259-2020

Other names 1

  • VisionFirst Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930018934 KY DME Supplier - Physician - OptometristDME Supplier - Optician 8729041926 Practice locations: Leitchfield, KY

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

2525 Elizabethtown Rd
Leitchfield, KY 42754
Phone (270) 259-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1235209974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549120",
            "telephone_number": "270-259-2020",
            "fax_number": "270-259-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549120",
            "telephone_number": "270-259-2020",
            "fax_number": "270-259-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE OPTOMETRIC CENTERS, III PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "RALLO",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER AND OPTOMETRIST",
        "authorized_official_telephone_number": "502-459-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "5419240008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionFirst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.