Provider Demographics
NPI:1013324359
Name:SUH, ELIZABETH DONG-HEE (OD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:DONG-HEE
Last Name:SUH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 S FORT APACHE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1716
Mailing Address - Country:US
Mailing Address - Phone:702-586-5222
Mailing Address - Fax:702-586-5224
Practice Address - Street 1:5060 S FORT APACHE RD STE 150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1716
Practice Address - Country:US
Practice Address - Phone:702-586-5222
Practice Address - Fax:702-586-5224
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV802152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist