DR. GARY LEESUE O.D.
NPI 1396019121
Optometrist in Colonie, NY
About Dr. Gary Leesue O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY LEESUE O.D. (NPI 1396019121) is an individual optometrist in Colonie, New York, licensed in New York (TUV007808-1) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gary Leesue O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Gary Leesue reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13224
- Reassigned Medicare billing, New York enrollment
- 243 clinicians in this Medicare group
Martinez, GA 30907
- Reassigned Medicare billing, Georgia enrollment
- 210 clinicians in this Medicare group
Lithonia, GA 30038
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Mark Lynn Od And Associates PC
- 50 clinicians in this Medicare group
Lithonia, GA 30038
- Reassigned Medicare billing, Georgia enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gary Leesue's NPI number?
The NPI number for Gary Leesue is 1396019121. It was assigned to this individual provider in the NPPES registry on February 24, 2012.
Where is Gary Leesue located?
Gary Leesue practices at 1545 Central Ave, Colonie, NY 12205. The listed phone number is (518) 452-1111.
What is Gary Leesue's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gary Leesue enrolled in Medicare?
Yes. Gary Leesue is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gary Leesue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Leesue reassigns Medicare benefits to 4 organizations: Empire Vision Center Inc (Syracuse, NY), Myeyedr Optometry Of Georgia, LLC (Martinez, GA), Mark Lynn Od & Associates, PC (Lithonia, GA) and Ga Doctors Of Optometry LLC (Lithonia, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Leesue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Leesue accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Gary Leesue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gary Leesue was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Gary Leesue, O.D. · NPI 1396019121
Optometrist provider in Colonie, New York. Individual provider, active in the CMS NPPES registry since February 24, 2012.
## Identity
- **NPI:** 1396019121 (Entity type: Individual)
- **Enumerated:** February 24, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV007808-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1545 CENTRAL AVE, Colonie, NY 12205-5060
- **Phone:** (518) 452-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Empire Vision Center Inc (NPI 1750358826, Syracuse, NY); Myeyedr Optometry Of Georgia, LLC (NPI 1689657322, Martinez, GA); Mark Lynn Od & Associates, PC (NPI 1417055203, Lithonia, GA); Ga Doctors Of Optometry LLC (NPI 1174105936, Lithonia, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1396019121) · Data from the CMS NPPES public registry.