Rallo, Rod
Rallo, Rod is an sole proprietor health care provider with primary practice located at 4000 Poplar Level Rd , Louisville KY 40213-1524. He 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 his primary health care specialty. Rallo, Rod can be contacted via phone (502) 459-2020.Contact Information
Primary practice address
4000 Poplar Level Rd
Louisville KY 40213-1524
Phone: (502) 459-2020
Fax: (502) 456-5925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0936DT | Kentucky |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | Kentucky |
Profile Details
| NPI number | 1831181973 |
|---|---|
| LBN Legal business name | Rallo, Rod |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Feb 19th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831181973 | NPPES |
| Kentucky | MEDICAID | 77009363 | |
| Kentucky | Other | 000000350896 | |
| Kentucky | Other | 0936DT | |
| Kentucky | Other | P00202733 |
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