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BOSCOVS DEPARTMENT STORE LLC
NPI 1285568030
Eyewear Supplier in Erie, PA

Active since June 09, 2026
5800 PEACH ST UPPR, ERIE, PA 16565(814) 866-1239 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 1285568030), doing business as Boscov's Optical, is a healthcare organization registered as an eyewear supplier in Erie, 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

NPI1285568030
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameBOSCOVS DEPARTMENT STORE LLC
Location Address5800 PEACH ST UPPRErie, PA 16565-5601
Mailing Address4500 Perkiomen AveReading, PA 19606-3946 · (610) 779-2000
Phone(814) 866-1239
Organization SubpartNo
Authorized OfficialMichael DerenzoDirector Of Optical Services · (856) 759-9905
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1285568030 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.

5800 PEACH ST UPPR, Erie, PA 16565
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Other Names 1

Doing Business AsBoscov's Optical

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 1285568030. 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 5800 Peach St Uppr, Erie, PA 16565. The listed phone number is (814) 866-1239.

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.