NPI 1205760048

Boscovs Department Store LLC

Organisation Eyewear Supplier Wilmington, DE

Practice location

Address: 4737 Concord Pike, Wilmington, DE 19803-1442
Phone: (302) 478-5393
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

Other Eyewear Supplier providers in Delaware →

Registry record

NPI: 1205760048
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.