Organization Name: | LOUISVILLE OPTOMETRIC CENTERS, III PSC |
NPI Number: | 1114218377 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROD L. RALLO (OWNER) |
Mailing Address: | 631 E Tipton St Ste 2 Seymour |
State: | IN US |
Postal Code: | 472743519 |
Phone Number: | 8125224444 |
Fax Number: | 8125222634 |
NPI Enumeration Date: | 04/22/2011 |
NPI Last Update Date: | 02/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |