Provider Demographics
NPI:1477034973
Name:PARK SHER OPTICAL CO OF BUFFALO NY INC
Entity type:Organization
Organization Name:PARK SHER OPTICAL CO OF BUFFALO NY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:JOBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-947-2462
Mailing Address - Street 1:3035 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2661
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5827 S TRANSIT RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-6317
Practice Address - Country:US
Practice Address - Phone:716-770-5970
Practice Address - Fax:716-219-1176
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARK-SHER OPTICAL COMPANY OF BUFFALO, NEW YORK, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-23
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty