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SAMUEL MOON OD
NPI 1861972200
Optometrist in Stephenville, TX

Active since August 15, 2018PECOS Enrolled
101 N DALE AVE, STEPHENVILLE, TX 76401(254) 968-4133(254) 968-5631 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Moon Od NPPES

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

SAMUEL MOON OD (NPI 1861972200) is an individual optometrist in Stephenville, Texas, licensed in Texas (9582T) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861972200
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSAMUEL MOONCredential: OD
Location Address101 N DALE AVEStephenville, TX 76401-2832
Mailing Address101 N Dale AveStephenville, TX 76401-2832 · (254) 968-4133 · Fax (254) 968-5631
Phone(254) 968-4133
Fax(254) 968-5631
Sole ProprietorNo
Enumeration DateAugust 15, 2018
✔ NPI 1861972200 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 TX · 9582T
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.
101 N DALE AVE, Stephenville, TX 76401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Moon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

STEPHENVILLE OPTICAL, PA
Eyewear Supplier
101 N DALE AVE
STEPHENVILLE, TX 76401
Erath County (254) 968-4133
M.B. EYECARE MANAGEMENT, LLC
Eyewear Supplier
101 N DALE AVE
STEPHENVILLE, TX 76401
Erath County (254) 968-4133
STEPHENVILLE EYE CENTER, PLLC
Optometrist
101 N DALE AVE
STEPHENVILLE, TX 76401
Erath County (325) 226-1011
MONTY BANKS OD PA
Optometrist
101 N DALE AVE
STEPHENVILLE, TX 76401
Erath County (254) 968-4133

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 1861972200. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Samuel Moon located?

Samuel Moon practices at 101 N Dale Ave, Stephenville, TX 76401. The listed phone number is (254) 968-4133.

What is Samuel Moon's specialty?

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

Is Samuel Moon enrolled in Medicare?

Yes. Samuel Moon is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Moon accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers 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 August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.