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Boscovs Department Store LLC

Eyewear Supplier (Equipment, not the service) in Harrisburg, PA. Organization (NPI-2).

NPI number1134053978
StatusActive
Last updated in NPPESJun 9, 2026

Details

NPI
1134053978
Entity type
Organization (NPI-2)
Legal business name
Boscovs Department Store LLC
Organization subpart
No
Enumeration date
Jun 9, 2026
Certification date
Jun 9, 2026
Last updated
Jun 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Other names

  • Boscov'S Optical (Doing Business As)

Practice location

4600 Jonestown Rd
Harrisburg, PA 17109-6205

Phone 717-562-2366

Mailing address

4500 Perkiomen Ave
Reading, PA 19606-3946

Phone 610-779-2000

Authorized official

Michael Derenzo
Director Of Optical Services
8567599905

Is something wrong?

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