NPIMap

Organization Active NPI

Usv Optical, Inc.

Doing business as JC Penney Optical

  • Hearing Instrument Specialist
  • Mesa, AZ
National Provider Identifier
1376224170
Registry record updated Jul 26, 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
6525 E Southern Ave
Mesa, AZ 85206-3711
Phone
(480) 832-0400
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 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
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

6525 E Southern Ave
Mesa, AZ 85206-3711

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 9

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

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": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1376224170",
    "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": "6525 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063711",
            "telephone_number": "480-832-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USV OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "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": "237700000X",
            "taxonomy_group": "193200000X MULTI-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"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.