Active NPI
Park Sher Optical Co of Buffalo Ny Inc
- Optometrist
- Lockport, NY
National Provider Identifier
1033718549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PARK SHER OPTICAL CO OF BUFFALO NY INC
- Practice address
- 6624 Lincoln Ave
Lockport, NY 14094-6109 - Phone
- (716) 433-8235
- NPI assigned
- Oct 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Jude Joba
- Title
- OD
- Phone
- (716) 947-2462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
6624 Lincoln Ave
Lockport, NY 14094-6109
Mailing address
3035 Genesee St
Cheektowaga, NY 14225-2661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220114000228 | NY | Part B Supplier - Clinic/Group Practice | 3476831777 |
Receives reassigned benefits from 18 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Williamsville, NY; West Seneca, NY; Webster, NY; Tonawanda, NY; Rochester, NY; Lackawanna, NY; Lockport, NY; Buffalo, NY… |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Optometrist
- Village of Fairport, NY
- NPI 1629642236
O20220114000228
National Provider Directory
National Provider DirectoryLocations
6624 Lincoln Ave
Lockport, NY 14094
Phone (716) 433-8235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1033718549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 GENESEE ST",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6624 LINCOLN AVE",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140946109",
"telephone_number": "716-433-8235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK SHER OPTICAL CO OF BUFFALO NY INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-26",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "JOBA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JUDE",
"authorized_official_title_or_position": "OD",
"authorized_official_telephone_number": "716-947-2462"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.