Individual
CHARISSA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 KINGSRIDGE DR, DAYTON, OH 45458-1616
(937) 436-3472
(937) 436-3499
Mailing address
8800 KINGSRIDGE DR, DAYTON, OH 45458-1616
(937) 436-3472
(937) 436-3499
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017348SC
OH
Other
Enumeration date
02/21/2023
Last updated
12/14/2023
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