NPI 1619923794

Marizel M. Derby, OD

Practitioner Corneal and Contact Management Optometrist Midvale, UT

Practice location

Address: 7250 Union Park Ave, Midvale, UT 84047-1840
Phone: (801) 255-0709
Mailing address: 977 Addington Cir, Sandy, UT 84094-1615

Registered specialties (2)

Corneal and Contact Management Optometrist Primary

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 372443-8908 (UT)

Other Optometrist providers in Utah →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 372443-9934 (UT)

Registry record

NPI: 1619923794
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.