Active NPI
Natasha Jackson
- Optician
- Buffalo, NY
National Provider Identifier
1396677175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 010495
- Practice address
- 932 Elmwood Ave
Buffalo, NY 14222-1212 - Phone
- (716) 884-2232
- NPI assigned
- Jun 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 010495 | NY | Primary |
Addresses
Primary practice location
932 Elmwood Ave
Buffalo, NY 14222-1212
Mailing address
3534 Chapin Ave
Niagara Falls, NY 14301-2702
Other practice location 1
3712 Southwestern Blvd
Orchard Park, NY 14127-1720
Phone (716) 906-2600
Other practice location 2
811 Maple Rd
Williamsville, NY 14221-3260
Phone (716) 635-9017
Other practice location 3
6917 Plaza Dr
Niagara Falls, NY 14304-2918
Phone (716) 731-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010495 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care and Vision Associates Ophthalmology, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Niagara Falls, NY
- NPI 1861511131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1396677175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3534 CHAPIN AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143012702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221212",
"telephone_number": "716-884-2232"
}
],
"practiceLocations": [
{
"address_1": "3712 Southwestern Blvd",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141271720",
"country_code": "US",
"telephone_number": "716-906-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 Maple Rd",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142213260",
"country_code": "US",
"telephone_number": "716-635-9017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6917 Plaza Dr",
"address_purpose": "LOCATION",
"city": "Niagara Falls",
"state": "NY",
"postal_code": "143042918",
"country_code": "US",
"telephone_number": "716-731-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "NATASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "010495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.