Active NPIOrganization

Boscovs Department Store LLC

Eyewear Supplier (Equipment, not the service) in Vineland, New Jersey

NPI Number1295669059
Practice location
3849 S Delsea Dr, Vineland, NJ 08360-7408
Fax
—
Last updated
June 9, 2026

Boscovs Department Store LLC is a healthcare organization based in Vineland, NJ. Boscovs Department Store LLC practices in Vineland, NJ. The NPI Number for Boscovs Department Store LLC is 1295669059. The current practice location address for Boscovs Department Store LLC is 3849 S Delsea Dr, Vineland, NJ 08360-7408 and can be reached out via phone at 856-327-4870.

Provider Profile Details

NPI Number
1295669059
Provider Name
Boscovs Department Store LLC
Provider Entity Type
Organization
Address
3849 S Delsea Dr, Vineland, NJ 08360-7408
Phone Number
856-327-4870
Primary Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X
Organization Subpart
No
Authorized Official
Michael Derenzo · Director Of Optical Services · 856-759-9905
Other Names
Boscov'S Optical (Doing Business As)
Provider Enumeration Date
June 9, 2026
Last Update Date
June 9, 2026
Certification Date
June 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3849 S Delsea Dr
Vineland, NJ 08360-7408
Zip
08360-7408
Phone Number
856-327-4870
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
4500 Perkiomen Ave
Reading, PA 19606-3946
City
Reading
State
PA
Zip
19606-3946
Phone Number
610-779-2000

License Information

Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Boscovs Department Store LLC?

The NPI number of Boscovs Department Store LLC is 1295669059. It was assigned on June 9, 2026 and is currently active in the NPPES registry.

What is the specialty of Boscovs Department Store LLC?

Boscovs Department Store LLC is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X).

Where does Boscovs Department Store LLC practice?

The practice location is 3849 S Delsea Dr, Vineland, NJ 08360-7408. The office can be reached at 856-327-4870 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295669059 directly on the NPPES registry website.

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