Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Boryszak, OD

Individual provider Optometrist · NPI 1124060751

Ethan Boryszak, OD is an Optometry in Lockport, New York. Qualified in 2005, 21 years ago. Practices with Allegany Ophthalmology PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5683 S Transit Rd
Lockport, NY 14094-5844
Phone: (716) 631-3860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV006999-1 (NY)

Record details

NPI number1124060751
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 11, 2006
Last updated in NPPESOctober 16, 2008
Mailing address5683 S Transit Rd, Lockport, NY 14094-5844

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Allegany Ophthalmology Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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