Provider Demographics
NPI:1235257569
Name:DRS. BAGUN & RUBIN LLP
Entity Type:Organization
Organization Name:DRS. BAGUN & RUBIN LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGUN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:845-298-1288
Mailing Address - Street 1:2001 SOUTH RD # 206
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5978
Mailing Address - Country:US
Mailing Address - Phone:845-298-1288
Mailing Address - Fax:845-298-1280
Practice Address - Street 1:2001 SOUTH RD # 206
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5978
Practice Address - Country:US
Practice Address - Phone:845-298-1288
Practice Address - Fax:845-298-1280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3835152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty