Active NPI
Park Sher Optical Co of Buffalo Ny Inc
- Optometrist
- Tonawanda, NY
National Provider Identifier
1659779338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007272
- Legal business name
- PARK SHER OPTICAL CO OF BUFFALO NY INC
- Practice address
- 642 Sheridan Dr
Tonawanda, NY 14150-7853 - Phone
- (716) 695-3733
- Fax
- (716) 646-3926
- NPI assigned
- Dec 12, 2014
- 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
- Robert Jude Joba
- Title
- OD
- Phone
- (716) 947-2462
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 007272 | NY | Primary |
| Optician | 156FX1800X | 07272 | NY |
Addresses
Primary practice location
642 Sheridan Dr
Tonawanda, NY 14150-7853
Mailing address
642 Sheridan Dr
Tonawanda, NY 14150-7853
Phone (716) 695-3733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Optometrist
- Village of Fairport, NY
- NPI 1629642236
O20220114000228
National Provider Directory
National Provider DirectoryLocations
3035 Genesee St
Ste 5
Cheektowaga, NY 14225
Phone (716) 896-3351
642 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 695-3733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cheektowaga, NY
- NPI 1427542208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1659779338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 SHERIDAN DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141507853",
"telephone_number": "716-695-3733",
"fax_number": "716-646-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 SHERIDAN DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141507853",
"telephone_number": "716-695-3733",
"fax_number": "716-646-3926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK SHER OPTICAL CO OF BUFFALO NY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-12",
"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": "NY",
"license": "007272",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "07272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tonawanda, 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.