Village Optical | |
634 Freshfields Drive, Johns Island, SC 29455 | |
(843) 768-0565 | |
(843) 768-0566 |
Full Name | Village Optical |
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Type | Facility |
Speciality | Optometrist |
Location | 634 Freshfields Drive, Johns Island, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669037974 | NPI | - | NPPES |
DA9789 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Provider Name | Derek S Maroun |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013218254 PECOS PAC ID: 6709011240 Enrollment ID: I20131108001015 |
Mailing Address | Practice Location Address |
---|---|
Village Optical 634 Freshfields Drive, Johns Island, SC 29455 Ph: (843) 768-0565 | Village Optical 634 Freshfields Drive, Johns Island, SC 29455 Ph: (843) 768-0565 |
Dr. Derek Scott Maroun, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 634 Freshfields Drive, Johns Island, SC 29455 Phone: 843-768-0565 Fax: 843-768-0566 | |
Paul W Bohac, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2875 Maybank Hwy, Johns Island, SC 29455 Phone: 843-559-5333 Fax: 843-559-5339 | |
Angel Oak Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 2875 Maybank Hwy, Johns Island, SC 29455 Phone: 843-559-5333 Fax: 843-559-5339 | |
Village Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Gardners Cir, Pmb 159, Johns Island, SC 29455 Phone: 843-768-0565 | |
Village Optical Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 634 Freshfields Drive, Johns Island, SC 29455 Phone: 843-768-0565 Fax: 843-768-0566 |