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MR. MICHAEL PASQUALE DERENZO LDO
NPI 1114678646
Technician/Technologist - Optician in Blackwood, NJ

Active since January 17, 2022
1 HARMON DR, BLACKWOOD, NJ 08012(856) 228-1000 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Pasquale Derenzo Ldo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL PASQUALE DERENZO LDO (NPI 1114678646) is an individual optician in Blackwood, New Jersey, licensed in New York (006765) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1114678646
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameMR. MICHAEL PASQUALE DERENZOCredential: LDO
Location Address1 HARMON DRBlackwood, NJ 08012-5103
Mailing Address1 Harmon DrBlackwood, NJ 08012-5103 · (856) 228-1000
Phone(856) 228-1000
Sole ProprietorYes
Enumeration DateJanuary 17, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1114678646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in NY · 006765
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
1 HARMON DR, Blackwood, NJ 08012
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Other Identifiers 1

Other006765NY · Licensed Optician

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

USV OPTICAL, INC.
Eyewear Supplier
1 HARMON DR
BLACKWOOD, NJ 08012
Camden County (856) 228-1000
MRS. CYNTHIA DUPRE
Technician/Technologist (Optician)
1 HARMON DR
BLACKWOOD, NJ 08012
Camden County (856) 228-1000
USV OPTICAL INC.
Optometrist (Corneal and Contact Management)
1 HARMON DR
BLACKWOOD, NJ 08012
Camden County (856) 228-1000
USV OPTICAL INC.
Eyewear Supplier
1 HARMON DR
BLACKWOOD, NJ 08012
Camden County (856) 228-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Derenzo's NPI number?

The NPI number for Michael Derenzo is 1114678646. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Michael Derenzo located?

Michael Derenzo practices at 1 Harmon Dr, Blackwood, NJ 08012. The listed phone number is (856) 228-1000.

What is Michael Derenzo's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Michael Derenzo was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.