| Eye Care Center, Inc | |
| 102 Graham Ave Ground Floor, Brooklyn, NY 11206-3334 | |
| (718) 406-0478 | |
| (718) 705-4221 | 
| Full Name | Eye Care Center, Inc | 
|---|---|
| Type | Facility | 
| Speciality | Ophthalmology | 
| Location | 102 Graham Ave Ground Floor, Brooklyn, New York | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225538457 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary | 
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary | 
| Provider Name | Austin J Marolla | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1851507891 PECOS PAC ID: 1759367634 Enrollment ID: I20040629001714 | 
| Provider Name | David H Lee | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1003848714 PECOS PAC ID: 5294700233 Enrollment ID: I20040901000682 | 
| Provider Name | Ralph E Murray | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1629213848 PECOS PAC ID: 4486606563 Enrollment ID: I20090811000549 | 
| Provider Name | Minh Vu | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1013449305 PECOS PAC ID: 5799050738 Enrollment ID: I20171002002041 | 
| Provider Name | Rachel Du | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578135422 PECOS PAC ID: 4486042512 Enrollment ID: I20211022000777 | 
| Provider Name | Indigo Ensign | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1639740772 PECOS PAC ID: 3274909957 Enrollment ID: I20221020002394 | 
| Provider Name | Mackenzie Chapman | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1780361972 PECOS PAC ID: 9638515810 Enrollment ID: I20240311000785 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eye Care Center, Inc Po Box 150617, Brooklyn, NY 11215-0617 Ph: (718) 869-4326 | Eye Care Center, Inc 102 Graham Ave Ground Floor, Brooklyn, NY 11206-3334 Ph: (718) 406-0478 |