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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
3035 GENESEE ST, CHEEKTOWAGA, NY 14225-2661
(716) 896-3351
(716) 896-0171
Mailing address
3035 GENESEE ST, CHEEKTOWAGA, NY 14225-2661
(716) 896-3351
(716) 896-0171

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
156FX1800X
Optician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000300013009
BLUE CROSS & BLUE SHIELD
NY
01
0061482
GROUP HEALTH INCORPORATED
NY
01
330421
NATIONAL VISION ADMINISTR
NY
01
679
DAVISVISION
NY
01
NY3434
EYEMED
NY
Enumeration date
08/17/2006
Last updated
09/17/2025
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