Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366140063 Individual Practitioner Female Practitioner

Charissa Moore

Technician/Technologist - Optician • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Charissa Moore is a registered healthcare professional specializing in Technician/Technologist - Optician in Dayton, OH. Practice services are available at 8800 KINGSRIDGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8800 Kingsridge Dr

Dayton, OH 454581616

Telephone 9374363472
Fax 9374363499
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1619994894

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Dayton, OH

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

Practicing in Dayton, OH (751 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: 2023-12-14
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License OH OP.017348SC

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

7 Associated Practitioners
Brittany Byrd

Technician/Technologist - Optician

NPI 1023715646
Michael Lanning

Technician/Technologist - Optician

NPI 1124725742
Samuel Wilcox

Technician/Technologist - Optician

NPI 1356280143
Ashley Simms , OPTICIAN

Technician/Technologist - Optician

NPI 1457232092
Kaily Sheehan

Technician/Technologist - Optician

NPI 1508564618
Deborah Peace

Technician/Technologist - Optician

NPI 1669171039

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 14, 2023

Registered at 8800 KINGSRIDGE DR, DAYTON, OH 454581616 (Tel: 9374363472)

📍
Updated Business Mailing Address December 14, 2023

Registered at 8800 KINGSRIDGE DR, DAYTON, OH 454581616 (Tel: 9374363472)

NPI Profile Active February 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2023

Registered at 1701 W DOROTHY LN, MORAINE, OH 454391838 (Tel: 9376432707)

📍
Updated Business Mailing Address February 21, 2023

Registered at 1701 W DOROTHY LN, MORAINE, OH 454391838 (Tel: 9376432707)

👤
Provider Name / Credentials Updated February 21, 2023

Recorded as CHARISSA MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2023

Technician/Technologist (License #OP.017348SC in OH)

🟢
Initial NPI Registration & Enumeration February 21, 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: 1366140063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2023
Last Update: December 14, 2023
Sole Proprietor: Yes

Mailing Address

8800 Kingsridge Dr

Dayton, OH 454581616

Phone: 9374363472

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.