IndividualActive
Kelly Moore
NPI 1992581193 · Optician · Bradenton, FL
Kelly Moore is a Optician provider in Bradenton, FL (NPI 1992581193).
Provider details
- NPI number
- 1992581193
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DO5600 (FL)
Practice location
2911 53rd Ave E
Bradenton, FL 34203-4312
Phone: (941) 752-0802
Street-level locationGet directions
Mailing address
11542 Middle Fork Way
Parrish, FL 34219
Registry dates
- Enumerated
- 2023-09-04
- Last updated
- 2023-09-04
- Certified
- 2023-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.