Individual provider Active NPI

Elizabeth Dong-Hee Suh, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1013324359
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
802 Issued in NV
Practice address
5060 S Fort Apache Rd Ste 150
Las Vegas, NV 89148-1716
Phone
(702) 586-5222
Fax
(702) 586-5224
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 802 NV Primary

Addresses

Primary practice location

5060 S Fort Apache Rd Ste 150
Las Vegas, NV 89148-1716

Mailing address

5060 S Fort Apache Rd Ste 150
Las Vegas, NV 89148-1716
Phone (702) 586-5222

Other practice location 1

10170 W Tropicana Ave Ste 153
Las Vegas, NV 89147-8465
Phone (702) 873-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141024001967 NV Practitioner - Optometry 6507087046 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5060 S Fort Apache Rd
Suite 150
Las Vegas, NV 89148-1716
Phone (702) 586-5222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 10, 2014 Accepting new patients
Optic Gallery Tropicana LLC Optometrist CurrentSince Aug 4, 2019 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Aug 10, 2014 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Aug 10, 2014 Accepting new patients
Chen Kuo Young, OD. Inc. Optometrist CurrentSince Feb 1, 2019 Accepting new patients
Optic Gallery Hualapai LLC Optometrist CurrentSince Feb 18, 2024 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Eyedentity Eye Care LLC Optometrist PastSince Jun 1, 2007 Accepting new patients

Locations

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

10170 W Tropicana Ave
Ste 153
Las Vegas, NV 89147
Phone (702) 873-2121

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

8880 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 938-2020

5060 S Fort Apache Rd
Ste 150
Las Vegas, NV 89148
Phone (702) 586-5222

Organizations & group practices 8

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1013324359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 S FORT APACHE RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481716",
            "telephone_number": "702-586-5222",
            "fax_number": "702-586-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 S FORT APACHE RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481716",
            "telephone_number": "702-586-5222",
            "fax_number": "702-586-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10170 W Tropicana Ave Ste 153",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478465",
            "country_code": "US",
            "telephone_number": "702-873-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUH",
        "first_name": "ELIZABETH",
        "middle_name": "DONG-HEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.