Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boscovs Department Store LLC

Organization Eyewear Supplier · NPI 1699609420

Boscovs Department Store LLC is an Eyewear Supplier in Hazle Township, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 Laurel Mall
Hazle Township, PA 18202-1203
Phone: (570) 459-2466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1699609420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Derenzo — Director Of Optical Services · (856) 759-9905
Other names Boscov'S Optical
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address4500 Perkiomen Ave, Reading, PA 19606-3946

Other providers in Hazle Township