OrganizationActive
Blue Moon Optical
NPI 1174940464 · Optician · San Marcos, TX
Blue Moon Optical is a Optician organization in San Marcos, TX (NPI 1174940464).
Provider details
- NPI number
- 1174940464
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Duffy, Owner(805) 710-2445
- License
- 189067 (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
121 W San Antonio St
San Marcos, TX 78666-5551
Phone: (805) 710-2445
Street-level locationGet directions
Mailing address
10800 River Plantation Dr
Austin, TX 78747-1482
Other names (DBA / former)
- Doing business as
- Blue Moon Optical
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2014-03-25
Frequently asked questions
- What is Blue Moon Optical's NPI number?
- Blue Moon Optical's National Provider Identifier (NPI) is 1174940464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Moon Optical?
- Blue Moon Optical is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is Blue Moon Optical located?
- Blue Moon Optical's practice location on file with NPPES is 121 W San Antonio St, San Marcos, TX 78666-5551.
- What is Blue Moon Optical's phone number?
- The practice phone number listed in the NPPES registry for Blue Moon Optical is (805) 710-2445.
- Who is the authorized official for Blue Moon Optical?
- The authorized official listed on Blue Moon Optical's NPPES record is Michael Duffy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Moon Optical's NPI active?
- Yes — Blue Moon Optical's NPI (1174940464) is active in the NPPES registry as of the last update on 2014-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.