Individual
ELIJAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 RED BANK RD, CINCINNATI, OH 45227-3416
(513) 351-9768
(513) 351-9809
Mailing address
4000 RED BANK RD, CINCINNATI, OH 45227-3416
(513) 351-9768
(513) 351-9809
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017992-S
OH
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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