Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charissa Moore

Individual provider Optician · NPI 1366140063

Charissa Moore is an Optician in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

8800 Kingsridge Dr
Dayton, OH 45458-1616
Phone: (937) 436-3472
Fax: (937) 436-3499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence OP.017348SC (OH)

Record details

NPI number1366140063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2023
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address8800 Kingsridge Dr, Dayton, OH 45458-1616

Other providers in Dayton