IndividualActive
Dawn Moore
NPI 1609505031 · Optician · Louisville, KY
Provider details
- NPI number
- 1609505031
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 162673 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
11901 Standiford Plaza Dr
Louisville, KY 40229-5906
Phone: (502) 968-6641
Fax: (502) 968-6096
Approximate (ZIP-level) locationGet directions
Mailing address
11901 Standiford Plaza Dr
Louisville, KY 40229-5906
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.