Organization Active NPI

Ashvani K Gulati MD PC

Doing business as Buffalo Eye Center

  • Optometrist
  • Kenmore, NY
National Provider Identifier
1205924164
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ASHVANI K GULATI MD PC
Doing business as
Buffalo Eye Center
Practice address
3750 Delaware Ave
Kenmore, NY 14217-1002
Phone
(716) 874-2455
Fax
(716) 874-5775
NPI assigned
Oct 10, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Tracey D Pici
Title
Surgical Coordinator
Phone
(716) 874-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3750 Delaware Ave
Kenmore, NY 14217-1002

Mailing address

3750 Delaware Ave
Kenmore, NY 14217-1002
Phone (716) 874-2455

Other names 1

  • Buffalo Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110310000005 NY Part B Supplier - Clinic/Group Practice 0143402388 Receives reassigned benefits from 2 practitioners
Practice locations: Amherst, NY; Buffalo, NY; Kenmore, NY; North Tonawanda, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2086359Ashvani K Gulati MD PC3750 Delaware Avenue, Kenmore, NY 14217Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Locations

3750 Delaware Ave
Kenmore, NY 14217
Phone (716) 874-2455

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

Practitioners & affiliated clinicians

Practitioners 3

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1205924164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171002",
            "telephone_number": "716-874-2455",
            "fax_number": "716-874-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171002",
            "telephone_number": "716-874-2455",
            "fax_number": "716-874-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHVANI K GULATI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PICI",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SURGICAL COORDINATOR",
        "authorized_official_telephone_number": "716-874-2455"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.