LOUISVILLE OPTOMETRIC CENTERS, III PSC


Address: 162 Midland Blvd, Shelbyville, KY 40065-9734
Phone: 5026332985

LOUISVILLE OPTOMETRIC CENTERS, III PSC (NPI# 1639227697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639227697
Entity Type Organization
Organization Name LOUISVILLE OPTOMETRIC CENTERS, III PSC
Other Organization Name VISIONFIRST
Practice Address 162 Midland Blvd
Shelbyville
KY 40065-9734
Mailing Address 4000 Poplar Level Rd
Louisville
KY 40213-1524
Practice Telephone 5026332985
Practice Fax Number 5026470327
Mailing Telephone 5024592020
Mailing Fax Number 5024595925
Enumeration Date 2007-01-08
Last Update Date 2014-02-19
Authorized Official Name DR. ROD L. RALLO (OWNER)
Authorized Official Telephone 5024592020
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 1008DT KY Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 77903839 05

Other Provider/Organization Names

Other Name Type Code
VisionFirst Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952458218 Louisville Optometric Centers, IIi Psc Optometrist 1303 Us Highway 127 S, Suite 108, Frankfort, KY 40601-4424 2007-01-05
1467522029 Louisville Optometric Centers, IIi Psc Eyewear Supplier (Equipment, not the service) 5023 Mud Lane, Suite 110, Louisville, KY 40229-2870 2006-11-09
1932279502 Louisville Optometric Centers, IIi Psc Eyewear Supplier (Equipment, not the service) 12911 Shelbyville Rd, Louisville, KY 40243-1613 2006-11-09
1134111271 Louisville Optometric Centers, IIi Psc Eyewear Supplier (Equipment, not the service) 4000 Poplar Level Rd, Louisville, KY 40213-1524 2005-08-16
1093183022 Louisville Optometric Centers, IIi Psc Optometrist 1400 Poplar Level Rd, Louisville, KY 40217-1309 2015-09-08
1881079762 Louisville Optometric Centers, IIi Psc Eyewear Supplier (Equipment, not the service) 6812 Dixie Hwy, Louisville, KY 40258-3914 2015-07-21
1114218377 Louisville Optometric Centers, IIi Psc Eyewear Supplier (Equipment, not the service) 631 E Tipton St Ste 2, Seymour, IN 47274-3519 2011-04-22
1750672911 Louisville Optometric Centers, IIi Psc Eyewear Supplier (Equipment, not the service) 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 2011-04-22
1992095012 Louisville Optometric Centers, IIi Psc Optometrist 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 2011-04-11
1801186929 Louisville Optometric Centers, IIi Psc Optometrist 631 E Tipton St, Suite 2, Seymour, IN 47274-3519 2011-04-11

Office Location

Street Address 162 MIDLAND BLVD
City SHELBYVILLE
State KY
Zip Code 40065-9734

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013348242 Elisa Sykes-brees Counselor 250 Alpine Drive, Shelbyville, KY 40065 2013-12-13
1073800512 Mimi Y. R. Rayburn Nurse Practitioner 865 Old Taylorsville Rd, Shelbyville, KY 40065 2011-07-05
1124310677 Amanda B Dassel Pharmacist 1605 Midland Trail, Shelbyville, KY 40065 2011-05-03
1639468812 Tia M Alton Pediatrics 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 2011-03-29
1699073338 Emily Ann Waits Dietitian, Registered 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 2011-03-04
1124335401 Kelli L. Fetter Occupational Therapist 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 2010-09-08
1083939425 Marilyn Louise Rhoads Licensed Practical Nurse 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 2010-03-29
1154525277 Dorman Preschool Center Early Intervention Provider Agency 719 Burks Branch Road, Shelbyville, KY 40065 2007-06-13
1194946368 Joanna Sames Pharmacist 16 Village Plaza, Shelbyville, KY 40065 2007-05-02
1033298922 Robyn A Keeling Dentist 502 Mount Eden Rd, Shelbyville, KY 40065 2006-11-03
Find all providers in zip 40065

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386113413 Eye Care Center Associates Pa Optometrist 301 Colloredo Blvd Ste C, Shelbyville, TN 37160-2839 2018-11-19
1487005484 Mid-state Eye Partners Inc Optometrist 102 N Heinlein Dr, Shelbyville, IL 62565-9050 2016-06-30
1609950401 Theodore E Bogart Optometrist West Route 16, Shelbyville, IL 62565-0199 2006-10-25
1952490336 Gary A Borchert Optometrist 273 W Broadway St, Shelbyville, IN 46176-1101 2006-10-12
1881701720 Robert Lynn Johnson Optometrist 919 Spring Hill Rd, Shelbyville, IN 46176-2759 2006-08-24
1508893348 Kelly A Sanderson Optometrist 915 Colloredo Blvd, Shelbyville, TN 37160-2780 2006-06-27
1013972405 Daniel Mark Bowersox Optometrist 403 Washington St, Shelbyville, KY 40065-1127 2006-04-19
1629050885 Katherine Rebecca Garringer Optometrist 441 Amos Rd, Shelbyville, IN 46176-2245 2005-11-15
1619966728 City Optical Co Inc Optometrist 1634 E State Rd 44, Shelbyville, IN 46614-1844 2005-10-20
1669467189 Joseph T Marcin Jr. Optometrist 1401 W Main St, Shelbyville, IL 62565-1256 2005-09-12
Find all providers in SHELBYVILLE

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City SHELBYVILLE
Zip Code 40065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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