Organization Active NPI

Park Sher Optical Co of Buffalo Ny Inc

  • Optometrist
  • Blasdell, NY
National Provider Identifier
1609084524
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
3876 S Park Ave
Blasdell, NY 14219-1800
Phone
(716) 822-2264
NPI assigned
May 21, 2007
Last updated
Sep 17, 2025By the provider in NPPES
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
Optometrist 152W00000X NU Primary
Optician 156FX1800X NU

Addresses

Primary practice location

3876 S Park Ave
Blasdell, NY 14219-1800

Mailing address

3876 S Park Ave
Blasdell, NY 14219-1800
Phone (716) 822-2264

National Provider Directory

National Provider Directory
Tax ID family
Park Sher Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1609084524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 S PARK AVE",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142191800",
            "telephone_number": "716-822-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 S PARK AVE",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142191800",
            "telephone_number": "716-822-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SHER OPTICAL CO OF BUFFALO NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "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": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blasdell, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.