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Contact Information

MARIZEL M DERBY, OD
7250 UNION PARK AVE
MIDVALE, UT84047-1840
 Phone: 801-255-0709
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARIZEL M DERBY · (Female)

NPI Number 1619923794
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/26/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 372443-8908
  • UT License # 372443-9934
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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