Active NPI
Buffalo Ophthalmology PLLC
- Ophthalmology Physician
- Williamsville, NY
National Provider Identifier
1497112734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 257467
- Legal business name
- BUFFALO OPHTHALMOLOGY PLLC
- Practice address
- 405 International Dr
Williamsville, NY 14221-5725 - Phone
- (716) 633-7386
- NPI assigned
- Jan 18, 2016
- 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
- Dr. Ausra Selvadurai, M.D.
- Title
- President
- Phone
- (651) 307-6618
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 257467 | NY | Primary |
Addresses
Primary practice location
405 International Dr
Williamsville, NY 14221-5725
Mailing address
5014 Rockhaven Dr
Clarence, NY 14031-2435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160418000226 | NY | Part B Supplier - Clinic/Group Practice | 3173821659 |
Receives reassigned benefits from 8 practitioners Practice locations: Orchard Park, NY; Williamsville, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2239418 | Buffalo Ophthalmology PLLC | Certificate of waiver | Oct 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
3055 Southwestern Blvd
Ste 108
Orchard Park, NY 14127
Phone (716) 633-7386
Practitioners & affiliated clinicians
Practitioners 8
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": "1453075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1497112734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5014 ROCKHAVEN DR",
"city": "CLARENCE",
"state": "NY",
"postal_code": "140312435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 INTERNATIONAL DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215725",
"telephone_number": "716-633-7386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFFALO OPHTHALMOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-18",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "SELVADURAI",
"authorized_official_first_name": "AUSRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-307-6618",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "257467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
- Buffalo Neurosurgery P.C.
- Buffalo Niagara Endodontics, P.C.
- Buffalo Niagara Music Therapy Services, LLC
- Buffalo Niagara Retina
- Buffalo Niagara Retina Associates, PC
- Buffalo Orthopaedic Group,LLP
- Buffalo Pharmacies Inc
- Buffalo Physical Therapy & Sports Rehabilitation, PC
- Buffalo Radiation Oncology
- Buffalo Respiratory Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.