Robert K Druger MD PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

260483 Issued in NY

Legal business name

ROBERT K DRUGER MD PLLC

Practice address

5633 W Genesee St
Camillus, NY 13031-1324

Phone

(315) 488-1601

Fax

(315) 488-0047

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Kenneth Druger, MDNPI 1013984723

Title

Owner

Phone

(315) 488-1601

Specialties & licenses 5

Addresses

Other names 1

• DRUGER EYE CARE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: drrobertdruger@drugereyecare.medentdirect.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert K Druger, M.D., PHD

  • Ophthalmology Physician
  • Camillus, NY
  • NPI 1013984723
  Medicare reassignment Care Compare group NPD Authorized official
• Maureen Kimora Wallen, OD

  • Optometrist
  • Camillus, NY
  • NPI 1285618439
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1730132291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311324",
            "telephone_number": "315-488-1601",
            "fax_number": "315-488-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311324",
            "telephone_number": "315-488-1601",
            "fax_number": "315-488-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K DRUGER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "DRUGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-488-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006882",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "210355",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "260483",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "C005879",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "006685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drrobertdruger@drugereyecare.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5633 W Genesee St",
            "city": "Camillus",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130311324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DRUGER EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DRUGER EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Michael Rivard, PTA
• Steve Rivizziano, PHYSICAL THERAPIST
• Alyssa Catherine Robens, FNP-BC
• Robert J. Foresti, LCSW, PLLC
• Robert K Druger Druger Optical
• Shannon S Rocker, PSY.D.
• Leigha Rogers
• Romans Soltani Dentistry, PLLC
• Kathleen A Rovall, MD
• Susan Meday Rozwod, SLP

• Ophthalmology Physician in Camillus, NY
• Providers in Camillus, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.