DR. CARL RICHARD MOON O.D.
NPI 1457368920
Optometrist in Saint Cloud, MN

Q: What is Carl Moon's NPI number?

The NPI number for Carl Moon is 1457368920. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Carl 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 Carl Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 01, 2006

4801 VETERANS DR, SAINT CLOUD, MN 56303(320) 255-6429(320) 255-6406 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Carl Richard Moon O.d. NPPES

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

DR. CARL RICHARD MOON O.D. (NPI 1457368920) is an individual optometrist in Saint Cloud, Minnesota, licensed in Minnesota (2001) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1457368920

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CARL RICHARD MOONCredential: O.D.

Location Address4801 VETERANS DRSaint Cloud, MN 56303-2015

Mailing Address1412 Dale StSaint Joseph, MN 56374-9451 · (320) 363-4226

Phone(320) 255-6429

Fax(320) 255-6406

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1457368920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 2001

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.

4801 VETERANS DR, Saint Cloud, MN 56303

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