Individual provider Active NPI

Garry Leckemby, O.D.

  • Optometrist
  • Paoli, PA
National Provider Identifier
1881653640
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001072 Issued in PA
Practice address
91 Chestnut Rd
Paoli, PA 19301-1502
Phone
(610) 296-3333
Fax
(610) 296-3030
NPI assigned
Mar 21, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001072 PA Primary

Addresses

Primary practice location

91 Chestnut Rd
Paoli, PA 19301-1502

Mailing address

910 Westbridge Garden Lane
Pheonixville, PA 19760
Phone (610) 296-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070224000055 PA Practitioner - Optometry 7618079450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Group PCGroup PAC ID 7416944046, 4 clinicians

Practice addresses (Care Compare)

2110 Harrisburg Pike
Suite 215
Lancaster, PA 17601-2644
Phone (717) 299-9232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001072PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Group, P.C. Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Family Eye Group, P.C. CurrentSince Jan 1, 2007 Accepting new patients
RSS Optometry, LLC Optometrist PastSince Aug 1, 2008 Accepting new patients
Leckemby Eyecare Associates, LLC Optometrist Past Accepting new patients
Surgical Eye Care LTD PastSince May 10, 2018 Accepting new patients

Locations

2110 Harrisburg Pike
Ste 215
Lancaster, PA 17601
Phone (717) 299-9232

Interoperability endpoints

  • Direct secure messaging: drleckemby@familyeyegroup.medentdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881653640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WESTBRIDGE GARDEN LANE",
            "city": "PHEONIXVILLE",
            "state": "PA",
            "postal_code": "19760",
            "telephone_number": "610-296-3333",
            "fax_number": "610-296-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CHESTNUT RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011502",
            "telephone_number": "610-296-3333",
            "fax_number": "610-296-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKEMBY",
        "first_name": "GARRY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.