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Individual

MS. IRENA MARIA WOSZCZAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTICIAN

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
156FC0801X
Contact Lens Fitter
Primary
5635-1
NY
156FX1800X
Optician
5635
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00011278301
UNIVERA
NY
01
000390186005
BLUE CROSS BLUE SHIELD OF
NY
05
01343728
NY
01
140943
COLE VISION
NY
01
49661
DAVIS VISION
NY
01
NY5635
EYEMED VISION CARE
NY
Enumeration date
03/26/2007
Last updated
09/11/2025
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