Su Pei B Li, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5050T1927 Issued in OH

Practice address

3948 Morse Xing
Columbus, OH 43219-6081

Phone

(614) 475-6512

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Su-Pei Li Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael S. Berk, O.D. Inc.

  • Optometrist
  • Gahanna, OH
  • NPI 1740398437
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1225068992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 NEWINGTON DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267915",
            "telephone_number": "614-563-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 MORSE XING",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196081",
            "telephone_number": "614-475-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SU PEI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5050T1927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11313528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SU-PEI",
            "last_name": "LI",
            "credential": "O.D., LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kunning Li, DDS
• Lin Li, MD
• Mingjia Li, M.D.
• NA Li, MD
• Philip Gee Li, DO
• Xingchen Li, MD
• Xingyao Li
• Ying Li, LISW-S
• Yuexing Li, PHARMD
• Yujia Li

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.