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

Dawn Marie Moore

Individual provider Optician · NPI 1609505031

Dawn Marie Moore is an Optician in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022

Practice location Address checks out

11901 Standiford Plaza Dr
Louisville, KY 40229-5906
Phone: (502) 968-6641
Fax: (502) 968-6096
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 162673 (KY)

Record details

NPI number1609505031
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022
Mailing address11901 Standiford Plaza Dr, Louisville, KY 40229-5906

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