Louisville Optometric Centers Iii, Psc

NPI #1134111271 in Louisville, Kentucky

Provider Information

NPI Number: 1134111271
Entity Type: Organization
Organization Name: Louisville Optometric Centers Iii, Psc
Primary Specialty: Optometrist
Enumeration Date: Aug 16, 2005
Last Updated: Apr 19, 2022

Practice Location

Address: 4000 POPLAR LEVEL RD
City: Louisville
State: Kentucky
ZIP Code: 40213-1524
Phone: (502) 451-0332

Authorized Official

Name: ROD RALLO, OD
Title: PRESIDENT OD OWNER
Phone: (502) 459-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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