NPI 1275467011

Boscovs Department Store LLC

Organisation Eyewear Supplier Deptford, NJ

Practice location

Address: 1750 Deptford Center Rd, Deptford, NJ 08096-5222
Phone: (856) 848-1409
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 New Jersey →

Registry record

NPI: 1275467011
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.