Organization Active NPI

Shannon S. Suh, O.D., PA

  • Optometrist
  • Plano, TX
National Provider Identifier
1285066720
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5808T Issued in TX
Legal business name
SHANNON S. SUH, O.D., PA
Practice address
8801 Ohio Dr
Plano, TX 75024-2268
Phone
(972) 731-8677
Fax
(972) 731-8635
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Shannon Sumi Suh, O.D.
Title
President/Owner
Phone
(972) 731-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5808T TX Primary

Addresses

Primary practice location

8801 Ohio Dr
Plano, TX 75024-2268

Mailing address

8801 Ohio Dr
Plano, TX 75024-2268
Phone (972) 731-8677

Other identifiers 2

IdentifierTypeStateIssuer
919792OtherTXBLOCKVISION
0018FFOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

12220 FM 423
Frisco, TX 75033
Phone (214) 387-9880

8801 Ohio Dr
Plano, TX 75024
Phone (972) 731-8677

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1285066720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 OHIO DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242268",
            "telephone_number": "972-731-8677",
            "fax_number": "972-731-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 OHIO DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242268",
            "telephone_number": "972-731-8677",
            "fax_number": "972-731-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON S. SUH, O.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "SUMI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-731-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5808T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCKVISION",
            "identifier": "919792",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0018FF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.