Organization Active NPI

Louisville Optometric Centers, III PSC

Doing business as VisionFirst

  • Optometrist
  • Seymour, IN
National Provider Identifier
1801186929
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOUISVILLE OPTOMETRIC CENTERS, III PSC
Doing business as
VisionFirst
Practice address
631 E Tipton St
Suite 2
Seymour, IN 47274-3519
Phone
(812) 522-4444
Fax
(812) 522-2634
NPI assigned
Apr 11, 2011
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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
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.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IN Primary

Addresses

Primary practice location

631 E Tipton St
Suite 2
Seymour, IN 47274-3519

Mailing address

631 E Tipton St
Suite 2
Seymour, IN 47274-3519
Phone (812) 522-4444

Other identifiers 1

IdentifierTypeStateIssuer
200502740DMedicaidIN

Other names 1

  • VisionFirst Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Louisville Optometric I33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

631 E Tipton St
Ste 2
Seymour, IN 47274
Phone (812) 522-4444

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": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1801186929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E TIPTON ST",
            "address_2": "SUITE 2",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743519",
            "telephone_number": "812-522-4444",
            "fax_number": "812-522-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E TIPTON ST",
            "address_2": "SUITE 2",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743519",
            "telephone_number": "812-522-4444",
            "fax_number": "812-522-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE OPTOMETRIC CENTERS, III PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "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": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200502740D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionFirst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, IN

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.