Individual provider Active NPI

Ralph Saverio Viola, M.D.

  • Ophthalmology Physician
  • Fairport, NY
National Provider Identifier
1306891577
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
186723-1 Issued in NY
Practice address
1157 Fairprt Rd.
Suite 201
Fairport, NY 14450-1237
Phone
(585) 586-9900
Fax
(585) 586-7700
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 186723-1 NY Primary

Addresses

Primary practice location

1157 Fairprt Rd.
Suite 201
Fairport, NY 14450-1237

Mailing address

1157 Fairport Rd.
Suite 201
Fairport, NY 14450-1237
Phone (585) 586-9900

Other identifiers 4

IdentifierTypeStateIssuer
P010186723OtherNYBLUE CROSS/BLUE SHIELD
102676OtherNYPREFERRED CARE
260033487OtherNYTAX ID
0C0524035003OtherNYCOMMUNITY BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000591 NY Practitioner - Ophthalmology 3678581634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
186723-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ralph S. Viola, PLLC CurrentSince Mar 1, 2002 Accepting new patients

Locations

1157 Fairport Rd
Ste 201
Fairport, NY 14450
Phone (585) 586-9900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1306891577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 FAIRPORT RD.",
            "address_2": "SUITE 201",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501237",
            "telephone_number": "585-586-9900",
            "fax_number": "585-586-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 FAIRPRT RD.",
            "address_2": "SUITE 201",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501237",
            "telephone_number": "585-586-9900",
            "fax_number": "585-586-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLA",
        "first_name": "RALPH",
        "middle_name": "SAVERIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "186723-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P010186723",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102676",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "260033487",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "0C0524035003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

Verify at the official NPI Registry.