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ANGELICA ROSE SUP O.D.
NPI 1366522633
Optometrist in Edmonds, WA

Active since October 17, 2006
21911 76TH AVE W, SUITE 101, EDMONDS, WA 98026(425) 774-7723(425) 778-2788 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelica Rose Sup O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA ROSE SUP O.D. (NPI 1366522633) is an individual optometrist in Edmonds, Washington, licensed in Washington (OD00003975) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1366522633
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANGELICA ROSE SUPCredential: O.D.
Location Address21911 76TH AVE W, SUITE 101Edmonds, WA 98026-7903
Mailing Address21911 76th Ave W, Suite 101Edmonds, WA 98026-7903 · (425) 774-7723 · Fax (425) 778-2788
Phone(425) 774-7723
Fax(425) 778-2788
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1366522633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · OD00003975
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
21911 76TH AVE W, Edmonds, WA 98026
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Other Identifiers 4

Other0202735WA · L&i Provider Number
Other2161SUWA · Regence Provider Number
Medicare ID-Type Unspecified8856680WA · Medicare Provider Number
Medicare UPINV00605WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOE M SKARIAH DO
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. EMMY NAKASU DAVISON M.D.
Family Medicine
21911 76TH AVE W, SUITE 110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. SAMUEL K SETO M.D.
Ophthalmology
21911 76TH AVE W, SUITE 101
EDMONDS, WA 98026
Snohomish County (425) 774-7723
EMILY NEL PETERSON MD
Family Medicine
21911 76TH AVE W, SUITE 110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
CHELSEA MURPHY MS, RD
Dietitian, Registered
21911 76TH AVE W, SUITE 200
EDMONDS, WA 98026
Snohomish County (425) 778-2220
DR. JUDITH BABCOCK M.D.
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. MAURENE P CRONYN M.D.
Family Medicine
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950
DR. STEPHEN P BEGERT M.D.
Specialist
21911 76TH AVE W, #110
EDMONDS, WA 98026
Snohomish County (425) 640-4950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Sup's NPI number?

The NPI number for Angelica Sup is 1366522633. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Angelica Sup located?

Angelica Sup practices at 21911 76th Ave W Suite 101, Edmonds, WA 98026. The listed phone number is (425) 774-7723.

What is Angelica Sup's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Angelica Sup was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.