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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BOSCOVS DEPARTMENT STORE LLC
NPI 1275459695
Eyewear Supplier in Monaca, PA

Active since June 29, 2026
570 BEAVER VALLEY MALL, MONACA, PA 15061(724) 987-3613 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 1275459695), doing business as Boscov's Optical, is a healthcare organization registered as an eyewear supplier in Monaca, 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

NPI1275459695
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameBOSCOVS DEPARTMENT STORE LLC
Location Address570 BEAVER VALLEY MALLMonaca, PA 15061
Mailing Address4500 Perkiomen AveReading, PA 19606-3946 · (610) 779-2000
Phone(724) 987-3613
Organization SubpartNo
Authorized OfficialMichael DerenzoDirector Of Optical Services · (856) 759-9905
Enumeration DateJune 29, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1275459695 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.
570 BEAVER VALLEY MALL, Monaca, PA 15061
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Other Names 1

Doing Business AsBoscov's Optical

Other Providers at the Same Location NPPES

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

USV OPTICAL INC.
Eyewear Supplier
570 BEAVER VALLEY MALL
MONACA, PA 15061
Beaver County (724) 728-8291

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 1275459695. It was assigned to this organization in the NPPES registry on June 29, 2026. The provider is doing business as Boscov's Optical.

Where is Boscovs Department Store LLC located?

Boscovs Department Store LLC is located at 570 Beaver Valley Mall, Monaca, PA 15061. The listed phone number is (724) 987-3613.

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 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.