Organization
BROADWAY OPTICIANS
Active
Other names
Irena M Woszczak
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRENA M WOSZCZAK DISPENSING OPTICIAN (OWNER)
(716) 892-9373
Entity
Organization
Contact information
Practice address
999 BROADWAY ST, BUFFALO, NY 14212-1369
(716) 892-9373
(716) 892-8316
Mailing address
999 BROADWAY ST, BUFFALO, NY 14212-1369
(716) 892-9373
(716) 892-8316
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5635-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011278301
BCBS OG WNY INC
NY
01
—
000390186005
BCBS OF WNY
NY
05
—
01343728
—
NY
01
—
140943
COLE
NY
01
—
49661
DAVIS VISION
NY
01
—
NY5635
EYEMED
NY
Enumeration date
05/09/2007
Last updated
08/22/2020
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