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Angelica Rose Sup, OD
Optometrist in Edmonds, Washington
NPI 1366522633

Angelica Rose Sup is a Optometrist based in Edmonds, WA. Angelica Rose Sup practices in Edmonds, WA and has the professional credentials of OD. The NPI Number for Angelica Rose Sup is 1366522633 and holds a License No. OD00003975 (Washington).

The current practice location address for Angelica Rose Sup is 21911 76Th Ave W, Edmonds, WA and can be reached out via phone at 425-774-7723 and via fax at 425-778-2788.

Location: 21911 76Th Ave W, Edmonds, WA, 98026-7903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366522633
Provider Name
Angelica Rose Sup
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
21911 76Th Ave W, Edmonds, WA, 98026-7903
Phone Number
425-774-7723
Fax Number
425-778-2788
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0202735 01 WA L&I PROVIDER NUMBER
2161SU 01 WA REGENCE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
21911 76Th Ave W
City
Edmonds
State
Washington
Zip
98026-7903
Phone Number
425-774-7723
Fax Number
425-778-2788
person
Provider Business Mailing Address Details
Address
21911 76Th Ave W
City
Edmonds
State
Washington
Zip
98026-7903
Phone Number
425-774-7723
Fax Number
425-778-2788
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
OD00003975 (Washington)
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.
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