<Unavail>
LBN: Louisville Optometric Centers Iii, Psc
<Unavail> is an health care organization with primary practice located at 4000 Poplar Level Rd , Louisville KY 40213-1524. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Louisville Optometric Centers Iii, Psc can be contacted via phone (502) 451-0332, or through Rallo, Rod via phone (502) 459-2020.
Contact Information
Primary practice address
4000 Poplar Level Rd
Louisville KY 40213-1524
Phone: (502) 451-0332
Fax: (502) 456-9121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1134111271 |
|---|---|
| LBN Legal business name | Louisville Optometric Centers Iii, Psc |
| DBA Doing business as | <Unavail> |
| Authorized official | Rallo, Rod Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Apr 19th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134111271 | NPPES |
| Indiana | MEDICAID | 200502740 | |
| Indiana | MEDICAID | 7100010580 | |
| Indiana | MEDICAID | 300024371 |
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