Whalio Doctors

NPI 1114851961

Boscovs Department Store LLC

Organisation Eyewear Supplier Meriden, CT

Practice location

Address
480 Lewis Ave, Meriden, CT 06451-2102
Phone
(203) 235-2988
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

Registry record

NPI
1114851961
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.