Rod Rallo is a Eyewear Supplier in Louisville, Kentucky. Rod Rallo practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Rod Rallo is 1831181973. The last update date is 2014-02-19.
Rod Rallo's current location address is 4000 Poplar Level Rd, Louisville, Kentucky. You can contact this provider via phone number 5024592020 and fax number 5024565925. The mailing address for Rod Rallo is 4000 Poplar Level Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rod Rallo |
|---|---|
| Address | 4000 Poplar Level Rd, Louisville, Kentucky |
| Phone Number | 5024592020 |
| Fax Number | 5024565925 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1831181973 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2014-02-19 |
Provider Mailing Address Detail
| Address | 4000 Poplar Level Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402131524 |
| Phone Number | 5024592020 |
| Fax Number | 5024565925 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77009363 | KY | -- | |
| 350896 | KY | ANTHEM BCBS | |
| 0936DT | KY | OD LICENSE NUMBER | |
| P00202733 | KY | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Rod Rallo by the Centers for Medicare & Medicaid Services?
The Rod Rallo has been issued the NPI (National Provider Identifier) 1831181973 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Rod Rallo?
The Rod Rallo is situated at 4000 Poplar Level Rd, in the city of Louisville, state of KY, with the zip code 402131524.
What is Rod Rallo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rod Rallo is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
On what date did the Rod Rallo receive its 1831181973 assignment from the Centers for Medicare & Medicaid Services?
The Rod Rallo was assigned its 1831181973 by the Centers for Medicare & Medicaid Services on 2005-08-16.
As of what date were the Rod Rallo's details last updated?
The information pertaining to the Rod Rallo, including its address, specialty, and other details, was most recently updated on 2014-02-19.
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