Active NPI
Shannon Sumi Suh, O.D.
- Optometrist
- Ashburn, VA
National Provider Identifier
1407945819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5808T
- Practice address
- 44727 Brimfield Dr
Ashburn, VA 20147-5920 - Phone
- (571) 385-4600
- Fax
- (571) 385-4605
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5808T | TX | |
| Optometrist | 152W00000X | 5808T | VA | Primary |
Addresses
Primary practice location
44727 Brimfield Dr
Ashburn, VA 20147-5920
Mailing address
1950 Old Gallows Rd
Vienna, VA 22182-3990
Phone (703) 847-8899
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018FF | Other | TX | BLUE CROSS BLUE SHIELD |
| 12969 | Other | TX | SPECTERA |
| 919792 | Other | TX | BLOCKVISON |
| 48962 | Other | TX | DAVIS VISION |
Other names 1
- Dr. Shannon Sumi Suh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5808T | TX | MD | Optometrist |
| 5808T | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1407945819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823990",
"telephone_number": "703-847-8899",
"fax_number": "972-731-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44727 BRIMFIELD DR",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475920",
"telephone_number": "571-385-4600",
"fax_number": "571-385-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "SHANNON",
"middle_name": "SUMI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5808T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "5808T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0018FF",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "12969",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCKVISON",
"identifier": "919792",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "48962",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "SUH",
"middle_name": "SUMI",
"prefix": "DR.",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.