Louisville Optometric Centers, III PSC
Organization Active NPI Optometrist · New Albany, IN
NPI 1821164740 · NPPES record last updated Feb 19, 2014
Key facts
- NPI
- 1821164740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 200502740B (IN)
- Legal business name
- LOUISVILLE OPTOMETRIC CENTERS, III PSC
- Practice address
- 4326 Charlestown Rd # 2
New Albany, IN 47150-9568 - Phone
- (812) 945-0023
- Fax
- (812) 945-0291
- NPI assigned
- Nov 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Rod L. Rallo, O.D.
- Title
- Owner and Optometrist
- Phone
- (502) 459-2020
Corporate family (same tax ID) 32
Practitioners 31
-
Rod Rallo, OD
-
Katrina Black, OD
-
Marcus Richard Braaten, O.D.
-
Angela Nicole Buchanan, O.D.
-
Carol L Hickey, OD
-
Olivia S. Walker, O.D.
-
Hiral Patel Badiwala, O.D.
-
Gabrielle Bailey, OD
-
Austin Brian, OD
-
Sarah Jo Bricker, O.D.
-
Madison Gibson, OD
-
Joseph Michael Hammond, O.D.
-
Christopher Hogan, O.D.
-
Romina A. Houston, O.D.
-
Thomas E Lalonde, OD
-
Lance Long, OD
-
Beth Anne Minton, OD
-
Sara L Pourheydarian, O.D.
National Provider Directory
- Tax ID family
- Louisville Optometric I
Locations
4326 Charlestown Rd
Ste 2
New Albany, IN 47150
4326 Charlestown Rd
#2
New Albany, IN 47150
Phone (812) 945-0023
321 N Walnut St
Seymour, IN 47274
Phone (812) 522-4444
631 E Tipton St
Ste 2
Seymour, IN 47274
Phone (812) 522-4444
2618 Ring Rd
Ste 108
Elizabethtown, KY 42701
Phone (270) 765-1128
11809 Standiford Plaza Dr
#1
Louisville, KY 40229
815 Main St
#507
Munfordville, KY 42765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 200502740B | IN | Yes |
Addresses
Primary practice location
4326 Charlestown Rd # 2
New Albany, IN 47150-9568
Mailing address
4326 Charlestown Rd
Suite 2
New Albany, IN 47150-8542
Phone (812) 945-0023
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200502740 | Medicaid | IN | |
| 200502740B | Medicaid | IN | |
| 300433 | Medicaid | IN |
Other names
- VisionFirst
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.