NPIMap

Organization Active NPI

Louisville Optometric Centers, III PSC

  • Optometrist
  • Scottsburg, IN
National Provider Identifier
1992095012
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
Practice address
279 N Gardner St
Suite 2
Scottsburg, IN 47170-1322
Phone
(812) 752-5106
Fax
(812) 752-5132
NPI assigned
Apr 11, 2011
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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IN Primary

Addresses

Primary practice location

279 N Gardner St
Suite 2
Scottsburg, IN 47170-1322

Mailing address

279 N Gardner St
Suite 2
Scottsburg, IN 47170-1322
Phone (812) 752-5106

Other identifiers 1

IdentifierTypeStateIssuer
200502740CMedicaidIN

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

Practitioners 1

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

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": "1992095012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 N GARDNER ST",
            "address_2": "SUITE 2",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701322",
            "telephone_number": "812-752-5106",
            "fax_number": "812-752-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 N GARDNER ST",
            "address_2": "SUITE 2",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701322",
            "telephone_number": "812-752-5106",
            "fax_number": "812-752-5132"
        }
    ],
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200502740C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionFirst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsburg, 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.