Individual provider Active NPI

Irena Maria Woszczak, OPTICIAN

  • Contact Lens Fitter
  • Buffalo, NY
National Provider Identifier
1649398298
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens FitterTaxonomy code 156FC0801X
License
5635-1 Issued in NY
Practice address
999 Broadway St
Buffalo, NY 14212-1369
Phone
(716) 892-9373
Fax
(716) 892-8316
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X 5635-1 NY Primary
Optician 156FX1800X 5635 NY

Addresses

Primary practice location

999 Broadway St
Buffalo, NY 14212-1369

Mailing address

999 Broadway St
Buffalo, NY 14212-1369
Phone (716) 892-9373

Other identifiers 6

IdentifierTypeStateIssuer
140943OtherNYCOLE VISION
49661OtherNYDAVIS VISION
00011278301OtherNYUNIVERA
000390186005OtherNYBLUE CROSS BLUE SHIELD OF
01343728MedicaidNY
NY5635OtherNYEYEMED VISION CARE

Other names 1

  • Broadway Opticians Other name

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

LicenseStateTypeSpecialty
5635-1NYMDContact Lens Fitter
5635NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Opticians Optician 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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649398298",
    "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": {
        "last_name": "WOSZCZAK",
        "first_name": "IRENA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "5635-1",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "5635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE VISION",
            "identifier": "140943",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49661",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011278301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "000390186005",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01343728",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "NY5635",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROADWAY",
            "last_name": "OPTICIANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 11, 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.