Individual provider Active NPI

Alan Bagun, O.D.

  • Optometrist
  • Poughkeepsie, NY
National Provider Identifier
1124159660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3835 Issued in NY
Practice address
2001 South Rd # 206
Poughkeepsie, NY 12601-5978
Phone
(845) 298-1288
Fax
(845) 298-1280
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3835 NY Primary

Addresses

Primary practice location

2001 South Rd # 206
Poughkeepsie, NY 12601-5978

Mailing address

10 Strathmore Dr
New City, NY 10956-7022
Phone (845) 356-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3835NYMDOptometrist
003835NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Bagun & Rubin LLP Optometrist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124159660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STRATHMORE DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567022",
            "telephone_number": "845-356-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SOUTH RD # 206",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015978",
            "telephone_number": "845-298-1288",
            "fax_number": "845-298-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGUN",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "3835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.