MEDICARE: GRAYS EYE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619843539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAYS EYE CARE LLC

Provider Business Mailing Address
First Line	:	2893 GRAYS FERRY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-2708
Country	:	US
Telephone Number	:	215-964-9605
Fax Number	:	267-239-2055

Provider Business Practice Location Address
First Line	:	2893 GRAYS FERRY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-2708
Country	:	US
Telephone Number	:	215-964-9605
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TU X DINH
Credential	:	OD
Telephone Number	:	215-391-3811

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	02/06/2026

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Directions to “GRAYS EYE CARE LLC ” Practice Location

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