SAMUEL MOON
NPI 1336851609
Optometrist in Granbury, TX

Q: What is Samuel Moon's NPI number?

The NPI number for Samuel Moon is 1336851609. It was assigned to this organization in the NPPES registry on December 19, 2022.

Q: What is Samuel Moon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Moon was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2022

735 E US HIGHWAY 377, GRANBURY, TX 76048(254) 485-4088 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samuel Moon NPPES

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

SAMUEL MOON (NPI 1336851609) is a healthcare organization registered as an optometrist in Granbury, Texas and active in the NPI registry since December 2022. The organization lists Samuel Moon, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1336851609

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSAMUEL MOON

Location Address735 E US HIGHWAY 377Granbury, TX 76048-2578

Mailing Address735 E Us Highway 377Granbury, TX 76048-2578 · (254) 485-4088

Phone(254) 485-4088

Organization SubpartNo

Authorized OfficialSamuel MoonOwner/ceo · (254) 485-4088

Enumeration DateDecember 19, 2022

NPPES CertifiedDecember 19, 2022

✔ NPI 1336851609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

735 E US HIGHWAY 377, Granbury, TX 76048

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCHETTA JORDAN

Pharmacist

735 E US HIGHWAY 377
GRANBURY, TX 76048

Hood County (817) 573-8864

KEVIN SHAY AVERHOFF

Pharmacist

735 E US HIGHWAY 377
GRANBURY, TX 76048

Hood County (817) 573-8864

ANGIE DEANN LOWERY

Technician/Technologist (Optician)

735 E US HIGHWAY 377
GRANBURY, TX 76048

Hood County (817) 573-2167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Moon's NPI number?

The NPI number for Samuel Moon is 1336851609. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Samuel Moon located?

Samuel Moon is located at 735 E Us Highway 377, Granbury, TX 76048. The listed phone number is (254) 485-4088.

What is Samuel Moon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Samuel Moon accept?

Health plans from BlueCross BlueShield of Tennessee list Samuel Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Moon was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.