NPIMap

Organization Active NPI

Usv Optical, Inc.

Doing business as JC Penney Optical

  • Hearing Instrument Specialist
  • Merritt Island, FL
National Provider Identifier
1275214082
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
USV OPTICAL, INC.
Doing business as
JC Penney Optical
Practice address
777 E Merritt Island Cswy
Merritt Island, FL 32952-3576
Phone
(321) 452-6811
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

777 E Merritt Island Cswy
Merritt Island, FL 32952-3576

Mailing address

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

Other names 1

  • JC Penney Optical 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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1275214082",
    "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": "777 E MERRITT ISLAND CSWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523576",
            "telephone_number": "321-452-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USV OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "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": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Penney Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JC Penney Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.