Dawn Marie Moore

Primary specialty

OpticianTaxonomy code 156FX1800X

License

162673 Issued in KY

Practice address

11901 Standiford Plaza Dr
Louisville, KY 40229-5906

Phone

(502) 968-6641

Fax

(502) 968-6096

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1609505031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 STANDIFORD PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295906",
            "telephone_number": "502-968-6641",
            "fax_number": "502-968-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 STANDIFORD PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295906",
            "telephone_number": "502-968-6641",
            "fax_number": "502-968-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "162673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chante' Moore
• Cody Wayne Moore, MD
• Courtney D Moore, APRN
• David Bruce Moore, PHD, LCSW,BCD, BCN
• David Pringle Moore, M.D.
• Deborah Kay Moore, PT
• Desiree' Moore
• Diane Ollive Moore, ARNP
• Donisha Moore
• Ebony Dawn Moore

• Optician in Louisville, KY
• Providers in Louisville, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.