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Organization

PARK SHER OPTICAL CO OF BUFFALO NY INC

Active
Other names
Southgate Optical
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT JUDE JOBA (OD)
(716) 947-2462
Entity
Organization

Contact information

Practice address
1028B UNION RD, WEST SENECA, NY 14224
(716) 674-6060
Mailing address
1028B UNION RD, WEST SENECA, NY 14224-3449

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025795401
UNIVERA
NY
01
003002352
BLUE CROSS BLUE SHIELD
NY
01
161411390
SUPERIOR VISION SERVICES
NY
01
17662
SPECTERA
NY
01
333696
NVA
NY
01
NY4425
EYEMED
NY
Enumeration date
01/18/2007
Last updated
09/17/2025
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