Organization Active NPI

Buffalo Optique LLC

  • Health Service Clinic/Center
  • Orchard Park, NY
National Provider Identifier
1013629377
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BUFFALO OPTIQUE LLC
Practice address
301 Sterling Dr
Orchard Park, NY 14127-1570
Phone
(716) 671-9020
NPI assigned
Dec 19, 2022
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Amylynn Bryniarski, LPN
Title
Practice Administrator
Phone
(716) 633-7386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

301 Sterling Dr
Orchard Park, NY 14127-1570

Mailing address

5014Rockhaven Dr
Clarence, NY 14031
Phone (716) 633-7386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230202000576 NY Part B Supplier - Clinic/Group Practice 7517339435 Receives reassigned benefits from 4 practitioners
Practice locations: Orchard Park, NY; Williamsville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1013629377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014ROCKHAVEN DR",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "14031",
            "telephone_number": "716-633-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STERLING DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271570",
            "telephone_number": "716-671-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO OPTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "BRYNIARSKI",
        "authorized_official_first_name": "AMYLYNN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "716-633-7386",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.