Sho-CHI Su, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5343 Issued in OH

Practice address

2727 Fairfield Commons Blvd
Space W179
Beavercreek, OH 45431-3778

Phone

(614) 226-3989

NPI assigned

Sep 7, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1851586366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 MOUNTJOY CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172442",
            "telephone_number": "614-226-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 FAIRFIELD COMMONS BLVD",
            "address_2": "SPACE W179",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313778",
            "telephone_number": "614-226-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "SHO-CHI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Henry Striebel, D.O.
• Courtney M Stroble, M.D.
• Megan Strum
• Ryan Patrick Stuart, MD
• Emilie Marie Sturgill, MS ED, LPC
• Jack Joseph Sudekum
• Dennis Michael Sullivan, M.D.
• Kelly Glen Sullivan
• Stephanie M Sullivan, DPT
• Stephanie Lynn Summerlin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.