Healthcare Provider Details

I. General information

NPI: 1881508000
Provider Name (Legal Business Name): GRAHAM EYE STUDIO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 GRAHAM AVENUE, GROUND FLOOR
BROOKLYN NY
11206-3320
US

IV. Provider business mailing address

PO BOX 150617
BROOKLYN NY
11215-0617
US

V. Phone/Fax

Practice location:
  • Phone: 718-406-0478
  • Fax: 347-987-4474
Mailing address:
  • Phone: 718-406-0478
  • Fax: 347-987-4474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: HERBERT N FREEDMAN
Title or Position: OWNER
Credential: MD
Phone: 347-477-4245