Dr Gary Leesue, OD | |
1545 Central Ave, Colonie, NY 12205-5060 | |
(518) 452-1111 | |
Not Available |
Full Name | Dr Gary Leesue |
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Gender | Male |
Speciality | Optometrist |
Location | 1545 Central Ave, Colonie, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396019121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV007808-1 (New York) | Primary |
Provider Name | Empire Vision Center Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750358826 PECOS PAC ID: 4688573876 Enrollment ID: O20040107000405 |
Mailing Address | Practice Location Address |
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Dr Gary Leesue, OD 3070 Nw 48th Ter, Apt 301, Lauderdale Lakes, FL 33313-7243 Ph: (305) 903-9239 | Dr Gary Leesue, OD 1545 Central Ave, Colonie, NY 12205-5060 Ph: (518) 452-1111 |
Empire Vision Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1440 Central Ave Ste E-2, Colonie, NY 12205 Phone: 518-489-8575 Fax: 518-489-8578 | |
Dr. Mark J Schneider, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Central Ave, Colonie, NY 12205 Phone: 518-452-1111 Fax: 518-452-1093 | |
Dr. Alexandra Mehas, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1545 Central Ave, Colonie, NY 12205 Phone: 513-835-1734 |