Organization Active NPI

Usv Optical, Inc.

Doing business as Forward Vision

  • Eyewear Supplier
  • Wilmington, DE
National Provider Identifier
1194488031
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
USV OPTICAL, INC.
Doing business as
Forward Vision
Practice address
1812 Marsh Rd
Wilmington, DE 19810-4581
Phone
(302) 798-7795
NPI assigned
Oct 18, 2021
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Pasquale DerenzoNPI 1114678646
Title
Executive Vice President
Phone
(856) 228-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1812 Marsh Rd
Wilmington, DE 19810-4581

Mailing address

1 Harmon Dr
Blackwood, NJ 08012-5103
Phone (856) 228-1000

Other practice location 1

4520 Kirkwood Hwy
Wilmington, DE 19808-5118
Phone (302) 998-5001

Other names 1

  • Forward Vision Doing business as

National Provider Directory

National Provider Directory
Tax ID family
US Vision Optical Inc407 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4520 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 998-5001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1194488031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARMON DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080125103",
            "telephone_number": "856-228-1000",
            "fax_number": "856-718-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 MARSH RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104581",
            "telephone_number": "302-798-7795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4520 Kirkwood Hwy",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085118",
            "country_code": "US",
            "telephone_number": "302-998-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USV OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "DERENZO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PASQUALE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "856-228-1000"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.