Christy Jo Moore, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

110641 Issued in KY

Practice address

2350 Grey Lag Way
Lexington, KY 40509-2477

Phone

(859) 263-0905

Fax

(859) 263-0837

NPI assigned

Jun 10, 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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1720717002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 GREY LAG WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092477",
            "telephone_number": "859-263-0905",
            "fax_number": "859-263-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 GREY LAG WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092477",
            "telephone_number": "859-263-0905",
            "fax_number": "859-263-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "110641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Moore, D.O.
• Calley Walker Moore, MS., CF- SLP
• Cathy Margaret Moore, MSW, CSW
• Chelsea Moore, DO
• Christina Moore, PHARM.D.
• Claire Elizabeth Moore
• Daniel Allen Moore
• Daniel Benjamin Moore, M.D.
• David Wendell Moore, PA-C
• Denitra Moore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.