Meye Vision Care and Eyeware

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MEYE VISION CARE AND EYEWARE

Practice address

634 Freshfields Drive
Johns Island, SC 29455

Phone

(843) 768-0565

Fax

(843) 768-0566

NPI assigned

May 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Derek Scott Maroun, ODNPI 1013218254

Title

Owner/Physician

Phone

(843) 768-0565

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Village Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Scott Maroun, O.D.

  • Optometrist
  • Johns Island, SC
  • NPI 1013218254
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1669037974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 FRESHFIELDS DRIVE",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "29455",
            "telephone_number": "843-768-0565",
            "fax_number": "843-768-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 FRESHFIELDS DRIVE",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "29455",
            "telephone_number": "843-768-0565",
            "fax_number": "843-768-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYE VISION CARE AND EYEWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "MAROUN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "843-768-0565",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9789",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malori Mattimore, DC
• Elizabeth Lambert McLeod, OTR/L
• Vanessa Lee McPherson, MD
• Andrea Sarah Mendelsohn, MD
• Stacy Ann Messersmith, FNP
• Modern Chiropractic Health Center Inc
• Kathy Gray Moock, R.N.
• Eloise Moore, PA-C
• Morris Pediatric Occupational Therapy
• Nancy M Morris, MSR, OTR/L

• Optometrist in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.