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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 1316871163
Eyewear Supplier in Baltimore, MD

Active since June 09, 2026
8200 PERRY HALL BLVD, BALTIMORE, MD 21236(410) 931-2219 Get Directions Write a Review

NPPES record added: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 30, 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 1316871163), doing business as Boscov's Optical, is a healthcare organization registered as an eyewear supplier in Baltimore, Maryland 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

NPI1316871163
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameBOSCOVS DEPARTMENT STORE LLC
Location Address8200 PERRY HALL BLVDBaltimore, MD 21236-4901
Mailing Address4500 Perkiomen AveReading, PA 19606-3946 · (610) 779-2000
Phone(410) 931-2219
Organization SubpartNo
Authorized OfficialMichael DerenzoDirector Of Optical Services · (856) 759-9905
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1316871163 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.
8200 PERRY HALL BLVD, Baltimore, MD 21236
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Other Names 1

Doing Business AsBoscov's Optical

Other Providers at the Same Location NPPES 7

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

USV OPTICAL INC
Eyewear Supplier
8200 PERRY HALL BLVD
BALTIMORE, MD 21236
Baltimore County (410) 931-7577
USV OPTICAL INC.
Eyewear Supplier
8200 PERRY HALL BLVD
BALTIMORE, MD 21236
Baltimore County (856) 228-1000
DANIEL & MAX, LLC
Eyewear Supplier
8200 PERRY HALL BLVD
BALTIMORE, MD 21236
Baltimore County (410) 931-2219
DR. PHYLLIS MAUDE STRICKLAND O.D.
Optometrist
8200 PERRY HALL BLVD, LENSCRAFTERS WHITE MARSH MALL
BALTIMORE, MD 21236
Baltimore County (410) 931-3050
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
8200 PERRY HALL BLVD, WHITE MARSH MALL
BALTIMORE, MD 21236
Baltimore County (410) 931-8122
DR PHYLLIS STRICKLAND & ASSOCIATES
Optometrist
8200 PERRY HALL BLVD, SUITE 2158, LENSCRAFTERS
NOTTINGHAM, MD 21236
Baltimore County (410) 931-3050
HENRY RHODE
Hearing Instrument Specialist
8200 PERRY HALL BLVD
NOTTINGHAM, MD 21236
Baltimore County (410) 931-2688

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 1316871163. 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 8200 Perry Hall Blvd, Baltimore, MD 21236. The listed phone number is (410) 931-2219.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.