Broadway Opticians

Primary specialty

OpticianTaxonomy code 156FX1800X

License

5635-1 Issued in NY

Legal business name

BROADWAY OPTICIANS

Doing business as

Irena M Woszczak

Practice address

999 Broadway St
Buffalo, NY 14212-1369

Phone

(716) 892-9373

Fax

(716) 892-8316

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Irena M Woszczak, DISPENSING OPTICIANNPI 1649398298

Title

Owner

Phone

(716) 892-9373

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Irena M Woszczak Doing business as

Practitioners 1

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

• Irena Maria Woszczak, OPTICIAN

  • Contact Lens Fitter
  • Buffalo, NY
  • NPI 1649398298

  Optician

  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295949311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121369",
            "telephone_number": "716-892-9373",
            "fax_number": "716-892-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121369",
            "telephone_number": "716-892-9373",
            "fax_number": "716-892-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOSZCZAK",
        "authorized_official_first_name": "IRENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-892-9373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DISPENSING OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "5635-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01343728",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY5635",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49661",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OG WNY INC",
            "identifier": "00011278301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WNY",
            "identifier": "000390186005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE",
            "identifier": "140943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irena M Woszczak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy L Brissette, MS, CCC-SLP
• Danielle Britt
• Elisabeth M Britton, MD
• Heather Marie Britton
• Amanda Broadnax, RN, BSN
• Andrea E Brock, OT
• Henry Brock, D.P.M.
• Cheney L Brockington, MSW
• Daniel Scott Brockman, D.O.
• Keenan Broderick

• Optician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.