Gary Leesue, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007808-1 Issued in NY

Practice address

1545 Central Ave
Colonie, NY 12205-5060

Phone

(518) 452-1111

NPI assigned

Feb 24, 2012

Last updated

Feb 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 19345@visionworks.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ga Doctors of Optometry LLC

  • Optometrist
  • Lithonia, GA
  • NPI 1174105936
  Medicare reassignment NPD
• Mark Lynn OD & Associates, PC

  dba Visionworks

  • Optometrist
  • Lithonia, GA
  • NPI 1417055203
  Medicare reassignment NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment
• Ga Doctors of Optometry LLC

  • Eyewear Supplier
  • Columbus, GA
  • NPI 1013599745

  Optometrist

  NPD
• Mark Lynn O.D. & Associates, PC

  dba Visionworks

  • Eyewear Supplier
  • Savannah, GA
  • NPI 1518375500
  NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Kingsland, GA
  • NPI 1669642435
  NPD
• America's Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Colonie, NY
  • NPI 1306877022
  NPD (past)

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1396019121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 NW 48TH TER",
            "address_2": "APT 301",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137243",
            "telephone_number": "305-903-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CENTRAL AVE",
            "city": "COLONIE",
            "state": "NY",
            "postal_code": "122055060",
            "telephone_number": "518-452-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESUE",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyesuk Kim
• Nimrat K Kingra, RPH
• Gary Lam, RPH
• Lebarty in-Home and Community Care LLC
• Lebarty Medi-Trans LLC
• Laura Catherine Leonard, RPH
• Life Centers USA Counseling (Life Centers USA)
• Living Resources Corp
• Judith Lutwama, LPN
• Luxottica of America Inc (Target Optical #1925)

• Optometrist in Colonie, NY
• Providers in Colonie, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.