Samuel Moon
NPI 1336851609 · Optometrist · Granbury, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Moon is a Optometrist organization in Granbury, TX (NPI 1336851609).
Provider details
- NPI number
- 1336851609
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Samuel Moon, Owner/Ceo(254) 485-4088
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Frequently asked questions
- What is Samuel Moon's NPI number?
- Samuel Moon's National Provider Identifier (NPI) is 1336851609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samuel Moon?
- Samuel Moon is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Samuel Moon located?
- Samuel Moon's practice location on file with NPPES is 735 E US Highway 377, Granbury, TX 76048-2578.
- What is Samuel Moon's phone number?
- The practice phone number listed in the NPPES registry for Samuel Moon is (254) 485-4088.
- Does Samuel Moon accept Medicare?
- Samuel Moon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Samuel Moon?
- The authorized official listed on Samuel Moon's NPPES record is Samuel Moon, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samuel Moon's NPI active?
- Yes — Samuel Moon's NPI (1336851609) is active in the NPPES registry as of the last update on 2022-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.