NPIMap

Organization Active NPI

Park Sher Optical Co of Buffalo Ny Inc

  • Optometrist
  • West Seneca, NY
National Provider Identifier
1073802104
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PARK SHER OPTICAL CO OF BUFFALO NY INC
Practice address
1779 Orchard Park Rd
West Seneca, NY 14224-4624
Phone
(716) 674-4110
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X 4065 NY

Addresses

Primary practice location

1779 Orchard Park Rd
West Seneca, NY 14224-4624

Mailing address

3035 Genesee St
Cheektowaga, NY 14225-2661
Phone (716) 674-4110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

4080 Seneca St
West Seneca, NY 14224
Phone (716) 674-4110

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1073802104",
    "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",
            "telephone_number": "716-674-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244624",
            "telephone_number": "716-674-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SHER OPTICAL CO OF BUFFALO NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "4065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, 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.

Verify at the official NPI Registry.