Angelica Rose Sup is a Edmonds, Washington based female Optometrist who is specialized in Optometry. Active license number of Angelica Rose Sup is OD00003975 for Optometry in Washington. Angelica Rose Sup 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Angelica Rose Sup speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Female
Practice Address:
21911 76th Ave W, Suite 101, Edmonds, Washington, 98026-7903
Phone:
425-774-7723
Fax:
425-778-2788
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366522633
NPI Enumeration Date:
17 Oct, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angelica Rose Sup are as mentioned below.
License Number
Specialization
State
Status
OD00003975
Optometry
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Angelica Rose Sup such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0202735
Other
Washington
L&I PROVIDER NUMBER
2161SU
Other
Washington
REGENCE PROVIDER NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
21911 76th Ave W, Suite 101 Edmonds, Washington
Zip:
98026-7903
Phone Number:
425-774-7723
Fax Number:
425-778-2788
Patients can reach Angelica Rose Sup at 21911 76th Ave W, Suite 101, Edmonds, Washington or can call to book an appointment on 425-774-7723. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.