Provider Demographics
NPI:1366143638
Name:PARK SLOPE OPTOMETRY PC
Entity type:Organization
Organization Name:PARK SLOPE OPTOMETRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-622-1880
Mailing Address - Street 1:226 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-4074
Mailing Address - Country:US
Mailing Address - Phone:718-622-1880
Mailing Address - Fax:718-622-1986
Practice Address - Street 1:226 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-4074
Practice Address - Country:US
Practice Address - Phone:718-622-1880
Practice Address - Fax:718-622-1986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty