Organization
MEYE VISION CARE AND EYEWARE
Active
Other names
Village Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK SCOTT MAROUN OD (OWNER/PHYSICIAN)
(843) 768-0565
Entity
Organization
Contact information
Practice address
634 FRESHFIELDS DRIVE, JOHNS ISLAND, SC 29455
(843) 768-0565
(843) 768-0566
Mailing address
634 FRESHFIELDS DRIVE, JOHNS ISLAND, SC 29455
(843) 768-0565
(843) 768-0566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9789
—
SC
Enumeration date
05/02/2019
Last updated
05/24/2019
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