Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelica Rose Sup, OD

Individual provider Optometrist · NPI 1366522633

Angelica Rose Sup, OD is an Optometrist in Edmonds, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

21911 76th Ave W Ste 101
Edmonds, WA 98026-7903
Phone: (425) 774-7723
Fax: (425) 778-2788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD00003975 (WA)

Record details

NPI number1366522633
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 9, 2007

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