Organization
GRAHAM EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH VU OD (OWNER)
(718) 869-4326
Entity
Organization
Contact information
Practice address
102 GRAHAM AVE, BROOKLYN, NY 11206-3334
(718) 406-0478
(718) 705-4221
Mailing address
PO BOX 150617, BROOKLYN, NY 11215-0617
(718) 869-4326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
12/29/2020
Last updated
12/29/2020
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