NPIMap

Organization Active NPI

Donna Goukler, O.D., P.C.

  • Optometrist
  • Delmar, NY
National Provider Identifier
1639860695
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DONNA GOUKLER, O.D., P.C.
Practice address
266 Delaware Ave
Delmar, NY 12054-1134
Phone
(518) 439-6309
NPI assigned
May 18, 2023
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Dr. Donna Goukler, O.D.NPI 1043537863
Title
Owner
Phone
(518) 439-6309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

266 Delaware Ave
Delmar, NY 12054-1134

Mailing address

4183 Mackenzie CT
Mason, OH 45040-4663
Phone (518) 439-6309

Other practice location 1

4183 MacKenzie Ct
Mason, OH 45040-4663
Phone (678) 360-4073

Other practice location 2

1600 Stewart Ave Ste 108
Westbury, NY 11590-6611
Phone (516) 280-3646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429001868 NY Part B Supplier - Clinic/Group Practice 2769822477 Receives reassigned benefits from 10 practitioners
Practice locations: Albany, NY; Westbury, NY; Latham, NY; Clifton Park, NY; Delmar, NY

National Provider Directory

National Provider Directory

Locations

1475 Western Ave
Ste 41
Albany, NY 12203
Phone (518) 489-8476

17 Clifton Country Rd
Clifton Park, NY 12065
Phone (518) 373-0003

266 Delaware Ave
Delmar, NY 12054
Phone (518) 439-3551

595 New Loudon Rd
Ste 8
Latham, NY 12110
Phone (518) 783-0002

1600 Stewart Ave
Ste 108
Westbury, NY 11590
Phone (516) 294-8232

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1639860695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 MACKENZIE CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404663",
            "telephone_number": "518-439-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541134",
            "telephone_number": "518-439-6309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4183 MacKenzie Ct",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450404663",
            "country_code": "US",
            "telephone_number": "678-360-4073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Stewart Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115906611",
            "country_code": "US",
            "telephone_number": "516-280-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DONNA GOUKLER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "GOUKLER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-439-6309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.