NPI 1003740846

Boscovs Department Store LLC

Organisation Eyewear Supplier York, PA

Practice location

Address: 2899 Whiteford Rd, York, PA 17402-8902
Phone: (717) 755-4395
Mailing address: 4500 Perkiomen Ave, Reading, PA 19606-3946

Authorised official

Name: Michael Derenzo
Title: Director of Optical Services
Phone: (856) 759-9905

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

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Registry record

NPI: 1003740846
Entity type: Organization
NPI issued: 9 Jun 2026
Record last updated: 9 Jun 2026

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.