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General NPI Number Information
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NPI Number | 1710039797
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Entity Type | Organization
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Legal Business Name | PARK SHER OPTICAL CO OF BUFFALO NY INC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1028B UNION RD
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City | WEST SENECA
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State | NY
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Zip | 14224
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Country | US
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Telephone | 716-674-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 1028B UNION RD
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City | WEST SENECA
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State | NY
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Zip | 14224-3449
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OD
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Name | ROBERT JUDE JOBA
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Credential |
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Telephone | 716-947-2462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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