BOSCOVS DEPARTMENT STORE LLC
NPI 1215861075
Eyewear Supplier in Plymouth Meeting, PA

Active since June 09, 2026
500 W GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462(610) 940-9287 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boscovs Department Store Llc NPPES

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

BOSCOVS DEPARTMENT STORE LLC (NPI 1215861075), doing business as Boscov's Optical, is a healthcare organization registered as an eyewear supplier in Plymouth Meeting, Pennsylvania and active in the NPI registry since June 2026. The organization lists Michael Derenzo, Director Of Optical Services, as its authorized official.

NPPES Registry Identity

NPI1215861075
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameBOSCOVS DEPARTMENT STORE LLC
Location Address500 W GERMANTOWN PIKEPlymouth Meeting, PA 19462-1353
Mailing Address4500 Perkiomen AveReading, PA 19606-3946 · (610) 779-2000
Organization SubpartNo
Authorized OfficialMichael DerenzoDirector Of Optical Services · (856) 759-9905
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1215861075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

500 W GERMANTOWN PIKE, Plymouth Meeting, PA 19462

Other Names 1

Doing Business AsBoscov's Optical

Other Providers at the Same Location NPPES 10

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

Internal Medicine
500 W GERMANTOWN PIKE, SUITE 1020
PLYMOUTH MEETING, PA 19462
Psychiatry & Neurology (Psychiatry)
500 W GERMANTOWN PIKE, CHURCH ON THE MALL, PLYMOUTH MEETING MALL, BOX 80
PLYMOUTH MEETING, PA 19462
Family Medicine
500 W GERMANTOWN PIKE, SUITE 1020
PLYMOUTH MEETING, PA 19462
Hearing Instrument Specialist
500 W GERMANTOWN PIKE
PLYMOUTH MEETING, PA 19462
Hearing Aid Equipment
500 W GERMANTOWN PIKE
PLYMOUTH MEETING, PA 19462
Podiatrist (Foot & Ankle Surgery)
500 W GERMANTOWN PIKE, SUITE 1020
PLYMOUTH MEETING, PA 19462
Optometrist (Corneal and Contact Management)
500 W GERMANTOWN PIKE
PLYMOUTH MEETING, PA 19462
Family Medicine
500 W GERMANTOWN PIKE, SUITE 1020
PLYMOUTH MEETING, PA 19462

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 Boscovs Department Store LLC's NPI number?

The NPI number for Boscovs Department Store LLC is 1215861075. It was assigned to this organization in the NPPES registry on June 9, 2026. The provider is doing business as Boscov's Optical.

Where is Boscovs Department Store LLC located?

Boscovs Department Store LLC is located at 500 W Germantown Pike, Plymouth Meeting, PA 19462. The listed phone number is (610) 940-9287.

What is Boscovs Department Store LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Boscovs Department Store LLC was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.