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
8200 PERRY HALL BLVD, BALTIMORE, MD 21236-4901
(410) 931-2219
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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