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Organization
SHANNON S. SUH, O.D., PA
Active
Organization
SHANNON S. SUH, O.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON SUMI SUH O.D. (PRESIDENT/OWNER)
(972) 731-8677
Entity
Organization
Contact information
Practice address
8801 OHIO DR, PLANO, TX 75024-2268
(972) 731-8677
(972) 731-8635
Mailing address
8801 OHIO DR, PLANO, TX 75024-2268
(972) 731-8677
(972) 731-8635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5808T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018FF
BLUE CROSS BLUE SHIELD
TX
01
—
919792
BLOCKVISION
TX
Enumeration date
08/07/2013
Last updated
09/10/2013
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