NPIMap

Organization Active NPI

Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Munfordville, KY
National Provider Identifier
1740316207
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
9410 Issued in KY
Legal business name
LOUISVILLE OPTOMETRIC CENTERS, III PSC
Practice address
815 Main St
Munfordville, KY 42765
Phone
(270) 524-5444
Fax
(270) 524-4600
NPI assigned
Feb 26, 2007
Organization subpart
No

Authorized official

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

Authorized official NPPES reports the 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

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

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Visionfirst815 Main St, Munfordville, KY 42765-9423(270) 524-5444 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2005

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20100930018330 KY DME Supplier - Physician - OptometristDME Supplier - Optician 8729041926 Practice locations: Munfordville, KY

National Provider Directory

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

Locations

815 Main St
Munfordville, KY 42765
Phone (270) 524-5444

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 9410 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

815 Main St
Munfordville, KY 42765

Mailing address

815 Main Street
Munfordville, KY 42765
Phone (270) 524-5444

Other names 1

NPPES NPI Registry
  • VisionFirst Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2014.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1740316207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MAIN STREET",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "42765",
            "telephone_number": "270-524-5444",
            "fax_number": "270-524-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MAIN ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "42765",
            "telephone_number": "270-524-5444",
            "fax_number": "270-524-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE OPTOMETRIC CENTERS, III PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "RALLO",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "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": "9410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionFirst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munfordville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.