ELIJAH MOORE - NPI 1417885302 - Technician/Technologist in Cincinnati, OH

Q: What is the provider's specialty?

The provider's specialty is Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.

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About Elijah Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH MOORE (NPI 1417885302) is an individual optician in Cincinnati, Ohio, licensed in Ohio (OP.017992-S) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1417885302

Entity TypeIndividualMale

Primary Taxonomy156FX1800X

Provider Legal NameELIJAH MOORE

Location Address4000 RED BANK RDCincinnati, OH 45227-3416

Mailing Address4000 Red Bank RdCincinnati, OH 45227-3416 · (513) 351-9768 · Fax (513) 351-9809

Phone(513) 351-9768

Fax(513) 351-9809

Sole ProprietorYes

Enumeration DateMay 11, 2026

NPPES CertifiedMay 11, 2026

✔ NPI 1417885302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers

Taxonomy Code156FX1800X

License✔ Licensed in OH · OP.017992-S

Definition

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.

4000 RED BANK RD, Cincinnati, OH 45227

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