Rod Rallo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0936DT Issued in KY

Practice address

4000 Poplar Level Rd
Louisville, KY 40213-1524

Phone

(502) 459-2020

Fax

(502) 456-5925

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisville Optometric Centers III, PSC

  • Optometrist
  • Louisville, KY
  • NPI 1134111271

  KY, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Louisville Optometric Centers III, PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1538938725
  Care Compare group NPD Authorized official
• Louisville Optometric Centers III, PSC

  • Eyewear Supplier
  • Frankfort, KY
  • NPI 1366512733

  Optometrist

  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers III, PSC

  • Eyewear Supplier
  • Elizabethtown, KY
  • NPI 1588345938
  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers III, PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1689415176
  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Hodgenville, KY
  • NPI 1205906930

  Optometrist

  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1265502074

  Optometrist

  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Shelbyville, KY
  • NPI 1578633210

  Optometrist

  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1669545554

  Optometrist

  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Munfordville, KY
  • NPI 1740316207

  Optometrist

  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1881079762

  Optometrist

  Care Compare group NPD (past) Authorized official
• Louisville Optometric Centers, III PSC

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1932279502

  Optometrist

  Care Compare group NPD (past) Authorized official

Specialty

Optometry

Education

Southern College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisville Optometric Centers III, PSC 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1831181973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131524",
            "telephone_number": "502-459-2020",
            "fax_number": "502-456-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131524",
            "telephone_number": "502-459-2020",
            "fax_number": "502-456-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALLO",
        "first_name": "ROD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0936DT",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009363",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000350896",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE NUMBER",
            "identifier": "0936DT",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00202733",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Lynn Raleigh
• Stephen Grant Raleigh, M.D.
• Joseph Paul Raley, DC
• Thomas William Raley, DC
• Julie M. Rallo, O.D.
• Ralph M. Green DMD, PLLC
• Ralph M. Green Medical PLLC
• Jennifer Ralph
• William Ralston III, MD
• Chithra P Ram, M.D.

• All providers in Louisville, KY
• Optometrist in Kentucky

• 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; Order and Referring.
• 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.