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

Kelly Moore

Individual provider Optician · NPI 1992581193

Kelly Moore is an Optician in Bradenton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

2911 53rd Ave E
Bradenton, FL 34203-4312
Phone: (941) 752-0802
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence DO5600 (FL)

Record details

NPI number1992581193
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 4, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023
Mailing address11542 Middle Fork Way, Parrish, FL 34219

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