Samuel Moon
Samuel Moon is a healthcare organization registered as Optometrist in Granbury, TX, holding Type 2 (organization) NPI 1336851609 since 2022. The authorized official on file is Samuel Moon, Owner/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336851609 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Samuel Moon |
| Practice address | 735 E US HIGHWAY 377, Granbury, TX, 76048 |
| Phone | 2544854088 |
| Enumeration date | 2022-12-19 |
| Last updated in NPPES | 2022-12-19 |
Authorized official
| Name | Samuel Moon |
|---|---|
| Title | Owner/Ceo |
| Phone | 2544854088 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | — | — |
Copy-ready billing details
Provider: Samuel Moon NPI: 1336851609 Taxonomy: 152W00000X (Optometrist) Address: 735 E US HIGHWAY 377, Granbury, TX, 76048
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427658616 | Kevin Averhoff | Individual | Pharmacist | Granbury, TX |
| 1013517754 | Marchetta Jordan | Individual | Pharmacist | Granbury, TX |
| 1902625692 | Angie Lowery | Individual | Optician | Granbury, TX |
Verify this record
Cross-check NPI 1336851609 against the authoritative CMS record: view Samuel Moon on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Samuel Moon?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-12-19.