Active NPI
Ralph Saverio Viola, M.D.
- Ophthalmology Physician
- Fairport, NY
National Provider Identifier
1306891577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 186723-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010186723 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 102676 | Other | NY | PREFERRED CARE |
| 260033487 | Other | NY | TAX ID |
| 0C0524035003 | Other | NY | COMMUNITY 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110902000591 | NY | Practitioner - Ophthalmology | 3678581634 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186723-1 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralph S. Viola, PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.