Samuel Moon

NPI #1336851609 in Granbury, Texas

Provider Information

NPI Number: 1336851609
Entity Type: Organization
Organization Name: Samuel Moon
Primary Specialty: Optometrist
Enumeration Date: Dec 19, 2022
Last Updated: Dec 19, 2022

Practice Location

Address: 735 E US HIGHWAY 377
City: Granbury
State: Texas
ZIP Code: 76048-2578
Phone: (254) 485-4088

Authorized Official

Name: SAMUEL MOON
Title: OWNER/CEO
Phone: (254) 485-4088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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