MEDICARE: DR. MARIZEL M. DERBY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	372443-9934	UT
2	152WC0802X	Corneal and Contact Management Optometrist	372443-8908	UT

General Provider Information

NPI Number	:	1619923794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIZEL M. DERBY O.D.

Provider Business Mailing Address
First Line	:	977 ADDINGTON CIR
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-1615
Country	:	US
Telephone Number	:	801-599-7720
Fax Number	:

Provider Business Practice Location Address
First Line	:	7250 UNION PARK AVE
Second Line	:
City	:	MIDVALE
State	:	UT
Zip	:	84047-1840
Country	:	US
Telephone Number	:	801-255-0709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1710919360 — INFOCUS EYECARE, INC.
Practice Location Address:

7250 UNION PARK AVE
MIDVALE, UT
84047-1840

Practice Phone: 801-599-8720
Practice Fax:

1689691875 — WALMART INC.
Practice Location Address:

7250 S UNION PARK AVE
MIDVALE, UT
84047-1840

Practice Phone: 801-255-0294
Practice Fax:

1831286434 — WAL-MART STORES, INC
Practice Location Address:

7250 UNION PARK AVE
MIDVALE, UT
84047-1840

Practice Phone: 801-255-0224
Practice Fax:

1679421515 — TOI H SAMPSON
Practice Location Address:

6771 S 900 E
MIDVALE, UT
84047-1436

Practice Phone: 801-386-9799
Practice Fax:

1750239570 — BLANCA V BUCHANAN LSUDC
Practice Location Address:

7050 S UNION PARK AVE STE 200
MIDVALE, UT
84047-4171

Practice Phone: 888-483-0760
Practice Fax:

1821945817 — TRINITI BOND
Practice Location Address:

6856 S 700 E
MIDVALE, UT
84047-1361

Practice Phone: 888-949-4864
Practice Fax:

Directions to “ DR. MARIZEL M. DERBY O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.