Provider Demographics
NPI:1790983500
Name:EYES ON THE SLOPE
Entity Type:Organization
Organization Name:EYES ON THE SLOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DENAROSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-399-1825
Mailing Address - Street 1:148 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2271
Mailing Address - Country:US
Mailing Address - Phone:718-399-1825
Mailing Address - Fax:718-638-5589
Practice Address - Street 1:148 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-2271
Practice Address - Country:US
Practice Address - Phone:718-399-1825
Practice Address - Fax:718-638-5589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty