Marizel M. Derby, O.D. Valid NPI
Individual provider · Corneal and Contact Management Optometrist · Midvale, UT
- NPI
- 1619923794
- Type
- Individual (Type 1)
- Primary specialty
- Corneal and Contact Management Optometrist (Optometrist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152WC0802X
- License number
- 372443-8908 (UT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-05-26
- Last updated
- 2025-09-11
Practice location
7250 Union Park Ave
Midvale, UT 84047-1840
(801) 255-0709