Derby, Marizel M.

Derby, Marizel M. is an sole proprietor health care provider with primary practice located at 7250 Union Park Ave , Midvale UT 84047-1840. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Derby, Marizel M. can be contacted via phone (801) 255-0709.

Contact Information

Primary practice address
7250 Union Park Ave Midvale UT 84047-1840
Phone: (801) 255-0709
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 372443-9934 Utah
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 372443-8908 Utah

Profile Details

NPI number 1619923794
LBN Legal business name Derby, Marizel M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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