Healthcare Provider Details

I. General information

NPI: 1366143638
Provider Name (Legal Business Name): PARK SLOPE OPTOMETRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 FLATBUSH AVE
BROOKLYN NY
11217-4074
US

IV. Provider business mailing address

226 FLATBUSH AVE
BROOKLYN NY
11217-4074
US

V. Phone/Fax

Practice location:
  • Phone: 718-622-1880
  • Fax: 718-622-1986
Mailing address:
  • Phone: 718-622-1880
  • Fax: 718-622-1986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN M ARTHUR
Title or Position: OD/OWNER
Credential: OD
Phone: 718-622-1880