Boscovs Department Store LLC
Eyewear Supplier (Equipment, not the service) in Eatontown, New Jersey
1497671804- Practice location
- 180 Route 35 South, Eatontown, NJ 07724
- Phone
- 732-389-2219
- Fax
- —
- Last updated
- June 29, 2026
Boscovs Department Store LLC is a healthcare organization based in Eatontown, NJ. Boscovs Department Store LLC practices in Eatontown, NJ. The NPI Number for Boscovs Department Store LLC is 1497671804. The current practice location address for Boscovs Department Store LLC is 180 Route 35 South, Eatontown, NJ 07724 and can be reached out via phone at 732-389-2219.
Provider Profile Details
- NPI Number
- 1497671804
- Provider Name
- Boscovs Department Store LLC
- Provider Entity Type
- Organization
- Address
- 180 Route 35 South, Eatontown, NJ 07724
- Phone Number
- 732-389-2219
- 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 29, 2026
- Last Update Date
- June 29, 2026
- Certification Date
- June 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Route 35 South
Eatontown, NJ 07724 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724
- Phone Number
- 732-389-2219
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 1497671804. It was assigned on June 29, 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 180 Route 35 South, Eatontown, NJ 07724. The office can be reached at 732-389-2219 (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 1497671804 directly on the NPPES registry website.