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Michael Derenzo, LDO
NPI 1114678646 · Optician · Blackwood, NJ
Michael Derenzo, LDO is a Optician provider in Blackwood, NJ (NPI 1114678646).
Provider details
- NPI number
- 1114678646
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 006765 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Harmon Dr
Blackwood, NJ 08012-5103
Phone: (856) 228-1000
Street-level locationGet directions
Mailing address
1 Harmon Dr
Blackwood, NJ 08012-5103
Registry dates
- Enumerated
- 2022-01-17
- Last updated
- 2022-01-17
- Certified
- 2022-01-17
Frequently asked questions
- What is Michael Derenzo's NPI number?
- Michael Derenzo's National Provider Identifier (NPI) is 1114678646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Derenzo's specialty?
- Michael Derenzo is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Michael Derenzo located?
- Michael Derenzo's practice location on file with NPPES is 1 Harmon Dr, Blackwood, NJ 08012-5103.
- What is Michael Derenzo's phone number?
- The practice phone number listed in the NPPES registry for Michael Derenzo is (856) 228-1000.
- Is Michael Derenzo's NPI active?
- Yes — Michael Derenzo's NPI (1114678646) is active in the NPPES registry as of the last update on 2022-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.