PARK SLOPE EYE, OPTOMETRIC PLLC
NPI 1750552501
Optometrist in Brooklyn, NY
About Park Slope Eye, Optometric Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK SLOPE EYE, OPTOMETRIC PLLC (NPI 1750552501) is a healthcare organization registered as an optometrist in Brooklyn, New York and active in the NPI registry since March 2008. The organization lists Justin Bazan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Park Slope Eye, Optometric Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Park Slope Eye, Optometric PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Park Slope Eye, Optometric PLLC's NPI number?
The NPI number for Park Slope Eye, Optometric PLLC is 1750552501. It was assigned to this organization in the NPPES registry on March 20, 2008.
Where is Park Slope Eye, Optometric PLLC located?
Park Slope Eye, Optometric PLLC is located at 682 Union St, Brooklyn, NY 11215. The listed phone number is (347) 560-8393.
What is Park Slope Eye, Optometric PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Park Slope Eye, Optometric PLLC enrolled in Medicare?
Yes. Park Slope Eye, Optometric PLLC is registered in the Medicare PECOS enrollment system.
When is Park Slope Eye, Optometric PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Park Slope Eye, Optometric PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Park Slope Eye, Optometric PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Park Slope Eye, Optometric PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Park Slope Eye, Optometric PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Park Slope Eye, Optometric PLLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Park Slope Eye, Optometric Pllc · NPI 1750552501
Optometrist organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since March 20, 2008.
## Identity
- **NPI:** 1750552501 (Entity type: Organization)
- **Enumerated:** March 20, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Justin Bazan, OWNER
## Practice location
- **Address:** 682 UNION ST, Brooklyn, NY 11215-2047
- **Phone:** (347) 560-8393 · **Fax:** (888) 850-6294
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750552501) · Data from the CMS NPPES public registry.