Dr. Derek Scott Maroun
Optometrist
634 Freshfields Drive
Johns Island
, South Carolina 29455
Dr. Derek Scott Maroun
Optometrist
634 Freshfields Drive
Johns Island
, South Carolina 29455
(843) 768-0566
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Derek Scott Maroun
- 634 Freshfields Drive
- Johns Island, SC
- Zip : 29455
- Fax : (843) 768-0566
- Phone : (843) 768-0565
Second Address
- Dr. Derek Scott Maroun
- 634 Freshfields Drive
- Johns Island, SC
- Zip : 29455
- Fax : (843) 768-0566
- Phone : (843) 768-0565
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1403 | SC |
| N | 152W00000X | Optometrist | 1766 | NC |
National Provider Identifier
| NPI | 1013218254 |
|---|---|
| Provider Name | Dr. Derek Scott Maroun |
| First Address | Johns Island, SC 29455 |
| Second Address | Johns Island, SC 29455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2010 |
| Last Update Date | 23/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.