Organization
PARK SHER OPTICAL CO OF BUFFALO NY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JUDE JOBA (OD)
(716) 947-2462
Entity
Organization
Contact information
Practice address
1234 ABBOTT RD STE 13, LACKAWANNA, NY 14218-1944
(716) 826-9230
(716) 826-9539
Mailing address
1234 ABBOTT RD STE 13, LACKAWANNA, NY 14218-1944
(716) 826-9230
(716) 826-9539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000300013005
BLUE CROSS & BLUE SHIELD
NY
01
—
0061482
GROUP HEALTH INCORPORATED
NY
01
—
330421
NATIONAL VISION ADMINISTR
NY
01
—
49896
DAVISVISION
NY
Enumeration date
08/28/2006
Last updated
09/17/2025
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