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
2305 UNION RD, WEST SENECA, NY 14224-1447
(716) 668-0711
Mailing address
2305 UNION RD, WEST SENECA, NY 14224-1447
(716) 668-0711
(716) 668-0835
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000300013003
BLUE CROSS & BLUE SHIELD
NY
01
—
0061482
GROUP HEALTH INCORPORATED
NY
01
—
330421
NATIONAL VISION ADMINISTR
NY
01
—
49895
DAVISVISION
NY
Enumeration date
08/28/2006
Last updated
09/17/2025
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