Organization Active NPI

Park Sher Optical Co of Buffalo Ny Inc

  • Optometrist
  • West Seneca, NY
National Provider Identifier
1710039797
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
1028B Union Rd
West Seneca, NY 14224
Phone
(716) 674-6060
NPI assigned
Jan 18, 2007
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 1

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

Addresses

Primary practice location

1028B Union Rd
West Seneca, NY 14224

Mailing address

1028B Union Rd
West Seneca, NY 14224-3449

Other practice location 1

7900 Buffalo Ave
Niagara Falls, NY 14304-4277
Phone (716) 283-8746

Other practice location 2

1104 Union Rd
West Seneca, NY 14224-3450
Phone (716) 674-6060

Other practice location 3

1028B Union Rd
West Seneca, NY 14224
Phone (716) 674-6060

Other identifiers 6

IdentifierTypeStateIssuer
003002352OtherNYBLUE CROSS BLUE SHIELD
161411390OtherNYSUPERIOR VISION SERVICES
00025795401OtherNYUNIVERA
333696OtherNYNVA
NY4425OtherNYEYEMED
17662OtherNYSPECTERA

Other names 1

  • Southgate Optical Doing business as

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.

Locations

1104 Union Rd
West Seneca, NY 14224
Phone (716) 674-6060

1028B Union Rd
West Seneca, NY 14224
Phone (716) 674-6060

Practitioners & affiliated clinicians

Practitioners 3

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1710039797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028B UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028B UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-674-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Buffalo Ave",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143044277",
            "country_code": "US",
            "telephone_number": "716-283-8746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 Union Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243450",
            "country_code": "US",
            "telephone_number": "716-674-6060",
            "fax_number": "716-674-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1028B Union Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "14224",
            "country_code": "US",
            "telephone_number": "716-674-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARK SHER OPTICAL CO OF BUFFALO NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "003002352",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION SERVICES",
            "identifier": "161411390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025795401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "333696",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY4425",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "17662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southgate Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southgate Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

Verify at the official NPI Registry.