Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992581193 Individual Practitioner Female Practitioner

Kelly Moore

Technician/Technologist - Optician • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Kelly Moore is a registered healthcare professional specializing in Technician/Technologist - Optician in Bradenton, FL. Practice services are available at 2911 53RD AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2911 53rd Ave E

Bradenton, FL 342034312

Telephone 9417520802
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1871510180

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Bradenton, FL (686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-04
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License FL DO5600

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Joseph Reinosa Ventura , DO

Technician/Technologist - Optician

NPI 1144111899

Doctor of Osteopathic Medicine (D.O.)

NPI 1255414710

Doctor of Optometry

Amanda Arnold

Technician/Technologist - Optician

NPI 1649059130

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 04, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2023

Registered at 2911 53RD AVE E, BRADENTON, FL 342034312 (Tel: 9417520802)

📍
Updated Business Mailing Address September 04, 2023

Registered at 11542 MIDDLE FORK WAY, PARRISH, FL 34219

👤
Provider Name / Credentials Updated September 04, 2023

Recorded as KELLY MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2023

Technician/Technologist (License #DO5600 in FL)

🟢
Initial NPI Registration & Enumeration September 04, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992581193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2023
Last Update: September 04, 2023
Sole Proprietor: Yes

Mailing Address

11542 Middle Fork Way

Parrish, FL 34219

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.