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Organization

BOSCOVS DEPARTMENT STORE LLC

Active
Other names
Boscov's Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL DERENZO (DIRECTOR OF OPTICAL SERVICES)
(856) 759-9905
Entity
Organization

Contact information

Practice address
480 LEWIS AVE, MERIDEN, CT 06451-2102
(203) 235-2988
Mailing address
4500 PERKIOMEN AVE, READING, PA 19606-3946
(610) 779-2000

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
06/09/2026
Last updated
06/09/2026
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