Bruce V Taggart, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T004819 Issued in NY

Practice address

980 E Main St Ste 2
Cobleskill, NY 12043-5742

Phone

(518) 234-2020

Fax

(518) 234-0092

NPI assigned

Jan 16, 2007

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

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

Specialty

Optometry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Donna Goukler OD PCGroup PAC ID 2769822477, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Donna Goukler, O.D., P.C.

  • Optometrist
  • Delmar, NY
  • NPI 1639860695
  Medicare reassignment Care Compare group NPD
• Dinapoli & Dinapoli, Inc.

  • Eyewear Supplier
  • Clifton Park, NY
  • NPI 1013084219

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003967779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FERNBANK AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120544027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E MAIN ST STE 2",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120435742",
            "telephone_number": "518-234-2020",
            "fax_number": "518-234-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "BRUCE",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T004819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia R. Sferruzza, LCSW-R
• Sarupinder Singh, DDS
• Megan Soule-Oneto
• Jeffrey Francis Suppon, PHARM D. RPH.
• Gary Joseph Surman Sr., D.D.S.
• Maureen Ann Taikowski, PT
• Denise Robinson Telfer, OTR/L
• Elizabeth Tenney-Domanski
• Thomas Cullen
• Samantha Thomas, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.