NPIMap

Organization Active NPI

Park Sher Optical Co of Buffalo Ny Inc

  • Optometrist
  • West Seneca, NY
National Provider Identifier
1619085958
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
2305 Union Rd
West Seneca, NY 14224-1447
Phone
(716) 668-0711
NPI assigned
Aug 28, 2006
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 JobaNPI 1316978869
Title
OD
Phone
(716) 947-2462

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X

Addresses

Primary practice location

2305 Union Rd
West Seneca, NY 14224-1447

Mailing address

2305 Union Rd
West Seneca, NY 14224-1447
Phone (716) 668-0711

Other identifiers 4

IdentifierTypeStateIssuer
49895OtherNYDAVISVISION
000300013003OtherNYBLUE CROSS & BLUE SHIELD
0061482OtherNYGROUP HEALTH INCORPORATED
330421OtherNYNATIONAL VISION ADMINISTR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220114000228 NY Part B Supplier - Clinic/Group Practice 3476831777 Receives reassigned benefits from 18 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williamsville, NY; West Seneca, NY; Webster, NY; Tonawanda, NY; Rochester, NY; Lackawanna, NY; Lockport, NY; Buffalo, NY…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

50 Buffalo St
Ste 1
Hamburg, NY 14075
Phone (716) 649-1035

3180 Latta Rd
Rochester, NY 14612
Phone (585) 663-6655

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1619085958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241447",
            "telephone_number": "716-668-0711",
            "fax_number": "716-668-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241447",
            "telephone_number": "716-668-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SHER OPTICAL CO OF BUFFALO NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVISVISION",
            "identifier": "49895",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000300013003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORATED",
            "identifier": "0061482",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "330421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.