NPI 1336073105
Boscovs Department Store LLC
Practice location
- Address
- 1201 Hooper Ave, Toms River, NJ 08753-3203
- Phone
- (732) 240-5069
- 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
Registry record
- NPI
- 1336073105
- 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.