Organization
USV OPTICAL, INC.
Active
Other names
JC Penney Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PASQUALE DERENZO (EXECUTIVE VICE PRESIDENT)
(856) 228-1000
Entity
Organization
Contact information
Practice address
4510 E CACTUS RD, PHOENIX, AZ 85032-7790
(602) 996-6833
Mailing address
1 HARMON DR, BLACKWOOD, NJ 08012-5103
(856) 228-1000
(856) 718-3639
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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