Organization Active NPI

Leckemby Eyecare Associates, LLC

  • Optometrist
  • Phoenixville, PA
National Provider Identifier
1083621114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001072 Issued in PA
Legal business name
LECKEMBY EYECARE ASSOCIATES, LLC
Practice address
523 Kimberton Rd
Ste. 11C
Phoenixville, PA 19460-4745
Phone
(610) 933-2177
Fax
(610) 933-8782
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Garry Lee Leckemby, O.D.NPI 1881653640
Title
President
Phone
(610) 933-2177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001072 PA Primary

Addresses

Primary practice location

523 Kimberton Rd
Ste. 11C
Phoenixville, PA 19460-4745

Mailing address

523 Kimberton Rd
Ste. 11C
Phoenixville, PA 19460-4745
Phone (610) 933-2177

National Provider Directory

National Provider Directory

Locations

523 Kimberton Rd
Ste 11C
Phoenixville, PA 19460
Phone (610) 933-2177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083621114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 KIMBERTON RD",
            "address_2": "STE. 11C",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604745",
            "telephone_number": "610-933-2177",
            "fax_number": "610-933-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 KIMBERTON RD",
            "address_2": "STE. 11C",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604745",
            "telephone_number": "610-933-2177",
            "fax_number": "610-933-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECKEMBY EYECARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LECKEMBY",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-933-2177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.