DR. DEREK SCOTT MAROUN (NPI# 1013218254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013218254 |
| Entity Type | Individual |
| Full Name | DR. DEREK SCOTT MAROUN |
| Credential | O.D. |
| Practice Address |
634 Freshfields Drive Johns Island SC 29455 |
| Practice Telephone | 8437680565 |
| Practice Fax Number | 8437680566 |
| Mailing Telephone | 8437680565 |
| Mailing Fax Number | 8437680566 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1766 | NC | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1403 | SC | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1261 Hidden Lakes Dr, Mount Pleasant, SC 294649468 | 8432705263 | 8432161884 |
| Street Address |
634 FRESHFIELDS DRIVE |
| City | JOHNS ISLAND |
| State | SC |
| Zip Code | 29455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1669037974 | Meye Vision Care and Eyeware | Durable Medical Equipment & Medical Supplies | 634 Freshfields Drive, Johns Island, SC 29455 | 2019-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1932527843 | Gordon Theodore Davis | General Practice | 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 | 2014-03-29 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1265765994 | Raymond David Mulligan | Psychologist | 431 Snowy Egret Lane, Kiawah Island, SC 29455 | 2009-09-14 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| 1629181011 | Gregory A Hancock | Dentist | 2754 Maybank Hwy, Ste A, Johns Island, SC 29455 | 2006-08-17 |
| Find all providers in zip 29455 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1275634362 | Paul W Bohac | Optometrist | 2875 Maybank Hwy, Johns Island, SC 29455-4808 | 2006-09-25 |
| 1861631343 | Eye Care Specialties Group - Kiawah | Optometrist | 130 Gardners Cir, Pmb 159, Johns Island, SC 29455-5467 | 2009-02-06 |
| 1548329097 | Angel Oak Eye Center | Optometrist | 2875 Maybank Hwy, Johns Island, SC 29455-4808 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515014 | Michael Richard Campbell | Optometrist | 10 Hospital Center Cmns Ste 100, Hilton Head Island, SC 29926-2838 | 2020-10-12 |
| 1760080824 | Jason Thomason | Optometrist | 113 Foxbank Plantation Blvd # C, Moncks Corner, SC 29461-6707 | 2020-10-12 |
| 1720696792 | National Vision Inc | Optometrist | 1317 N Main St Ste A3, Summerville, SC 29483-7342 | 2020-07-16 |
| 1871101857 | National Vision Inc | Optometrist | 1050 Fording Island Rd Ste G, Bluffton, SC 29910-8667 | 2020-07-16 |
| 1770104549 | Erica Jill Bobb | Optometrist | 3029 Oliver Stanley Trl, Lancaster, SC 29720-0286 | 2020-05-02 |
| 1346860491 | Hannah C. Williams | Optometrist | 2008 Concord Dr, Camden, SC 29020-9516 | 2020-04-19 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1831724756 | Jax & Rae Optometric | Optometrist | 970 Liberty St E, York, SC 29745-1662 | 2020-03-11 |
| 1083248785 | National Vision Inc | Optometrist | 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407-4681 | 2020-03-03 |
| 1972135754 | Healthy Eyes Vision Group LLC | Optometrist | 1518 Pickens St, Columbia, SC 29201-3449 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS ISLAND |
| Zip Code | 29455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.