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.

IndividualActive

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

OpticianPrimary156FX1800XLicense 006765 (NY)
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

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Mailing address