Mr. Michael Pasquale Derenzo is a Blackwood, New Jersey based male eyecare provider who is specialized as Optician. He has professional credentials of LDO. Active license number of Mr. Michael Pasquale Derenzo is 006765 for Optician in New York. Mr. Michael Pasquale Derenzo makes / sells eyeglasses and, contact lenses, for remedying defects of vision in accordance with the prescriptions of ophthalmologists and optometrists. Opticians also specializes in filling lens prescriptions, assisting patients with lens and frame selection and fitting (including style, weight and colour) but they do not test vision or write prescriptions for visual correction.
Complete Profile:
Mr. Michael Pasquale Derenzo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optician
Credentials:
LDO
Gender:
Male
Practice Address:
1 Harmon Dr, Blackwood, New Jersey, 08012-5103
Phone:
856-228-1000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114678646
NPI Enumeration Date:
17 Jan, 2022
NPI Last Update On:
17 Jan, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael Pasquale Derenzo are as mentioned below.
License Number
Specialization
State
Status
006765
Optician
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Michael Pasquale Derenzo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
006765
Other
New York
LICENSED OPTICIAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1 Harmon Dr, Blackwood, New Jersey
Zip:
08012-5103
Phone Number:
856-228-1000
Fax Number:
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Patients can reach Mr. Michael Pasquale Derenzo at 1 Harmon Dr, Blackwood, New Jersey or can call to book an appointment on 856-228-1000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.