RALPH DANIEL SUFFOLK III OD
NPI 1215029285
Optometrist in Camillus, NY

Q: What is Ralph Suffolk's NPI number?

The NPI number for Ralph Suffolk is 1215029285. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Ralph Suffolk's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ralph Suffolk was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2006PECOS Enrolled

5399 W GENESEE ST, WALMART VISION CENTER 2581, CAMILLUS, NY 13031(315) 468-2745(315) 468-2786 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ralph Daniel Suffolk Iii Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALPH DANIEL SUFFOLK III OD (NPI 1215029285) is an individual optometrist in Camillus, New York, licensed in New York (TUOO4200-1) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215029285

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameRALPH DANIEL SUFFOLK IIICredential: OD

Location Address5399 W GENESEE ST, WALMART VISION CENTER 2581Camillus, NY 13031-2265

Mailing Address5399 W Genesee St, Walmart Vision Center 2581Camillus, NY 13031-2265 · (315) 468-2745 · Fax (315) 468-2786

Phone(315) 468-2745

Fax(315) 468-2786

Sole ProprietorYes

Enumeration DateSeptember 28, 2006

Last NPPES UpdateNovember 28, 2007

✔ NPI 1215029285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · TUOO4200-1

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5399 W GENESEE ST, Camillus, NY 13031

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Other Identifiers 3

Medicare ID-Type Unspecified53880BNY

Medicare PINIA1101NY

Medicare UPINU47775NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralph Daniel Suffolk Iii Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA MARIE PAGOREK RPH

Pharmacist