Individual
DR. SHANNON SUMI SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
44727 BRIMFIELD DR, ASHBURN, VA 20147-5920
(571) 385-4600
(571) 385-4605
Mailing address
1950 OLD GALLOWS RD, VIENNA, VA 22182-3990
(703) 847-8899
(972) 731-8635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5808T
TX
152W00000X
Optometrist
Primary
5808T
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018FF
BLUE CROSS BLUE SHIELD
TX
01
—
12969
SPECTERA
TX
01
—
48962
DAVIS VISION
TX
01
—
919792
BLOCKVISON
TX
Enumeration date
10/12/2006
Last updated
03/28/2018
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