Susan Moon, O.D

NPI 1497912174 · on the registry since 2008 · sole proprietor

Practice

Address: 621 E Lake St
Tawas City, MI 48763
Phone: (989) 984-0929
Fax: (989) 984-0931
Organisation at this address: Sunrise Vision Care
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan