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Active NPI 1457368920 Individual Practitioner Male Practitioner

Dr. Carl Richard Moon , OD

Optometrist • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Carl Moon, OD is a registered healthcare professional specializing in Optometrist in Saint Cloud, MN. Practice services are available at 4801 VETERANS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4801 Veterans Dr

Saint Cloud, MN 563032015

Telephone 3202556429
Fax 3202556406
Associated Practice Facility / Clinic
🏢 St. Cloud Vamc Facility NPI 1235187741

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
30 Specialists

Practicing in Saint Cloud, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2001

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Megan Holm , RN

Registered Nurse

NPI 1083440473

Registered Nurse

Kori Happke , RN

Registered Nurse

NPI 1083440887

Registered Nurse

Sabrina Pebworth , LPN

Licensed Practical Nurse

NPI 1104653302

Licensed Practical Nurse

Sheila Klous , RN

Registered Nurse

NPI 1194543512

Registered Nurse

Deena Ostendorf , LPN

Licensed Practical Nurse

NPI 1255167037

Licensed Practical Nurse

Nicole Steichen , LPN

Licensed Practical Nurse

NPI 1275369308

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202556429)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1412 DALE ST, SAINT JOSEPH, MN 563749451 (Tel: 3203634226)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CARL MOON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2001 in MN)

🟢
Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457368920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1412 Dale St

Saint Joseph, MN 563749451

Phone: 3203634226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.