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Louisville Optometric Centers III, PSC

Organization Active NPI Eyewear Supplier · Louisville, KY

NPI 1689415176 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1689415176
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
LOUISVILLE OPTOMETRIC CENTERS III, PSC
Practice address
11809 Standiford Plaza Dr Ste 1
Louisville, KY 40229-5907
Phone
(502) 964-9400
NPI assigned
Jun 6, 2024
Organization subpart
No

Authorized official

Name
Rod Rallo NPI 1831181973
Title
OD
Phone
(502) 459-2020

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 18

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

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Louisville Optometric Centers III,
11809 Standiford Plaza Dr, Louisville, KY 40229-5907 · (502) 964-9400		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignment
Participating since Jan 1, 2005

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260416001306 KY DME Supplier - Physician - Optometrist 8729041926 Practice locations: Louisville, KY

National Provider Directory

Tax ID family
Louisville Optometric I (33 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

11809 Standiford Plaza Dr Ste 1
Louisville, KY 40229-5907

Mailing address

11809 Standiford Plaza Dr Ste 1
Louisville, KY 40229-5907
Phone (502) 964-9400

Other names

  • VisionFirst Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 19, 2026.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1689415176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 STANDIFORD PLAZA DR STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295907",
            "telephone_number": "502-964-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 STANDIFORD PLAZA DR STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295907",
            "telephone_number": "502-964-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE OPTOMETRIC CENTERS III, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "RALLO",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "502-459-2020"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionFirst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

All providers in Louisville, KY · Eyewear Supplier in Kentucky

Sources for this page

Verify at the official NPI Registry.