| Angelica Rose Sup, OD | |
|
21911 76th Ave W, Suite 101, Edmonds, WA 98026-7903 | |
| (425) 774-7723 | |
| (425) 778-2788 |
| Full Name | Angelica Rose Sup |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 21911 76th Ave W, Edmonds, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366522633 | NPI | - | NPPES |
| 0202735 | Other | WA | L&I PROVIDER NUMBER |
| 2161SU | Other | WA | REGENCE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD00003975 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Angelica Rose Sup, OD 21911 76th Ave W, Suite 101, Edmonds, WA 98026-7903 Ph: (425) 774-7723 | Angelica Rose Sup, OD 21911 76th Ave W, Suite 101, Edmonds, WA 98026-7903 Ph: (425) 774-7723 |
Dr. Tony D. Pool, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 543 Main St, Suite C, Edmonds, WA 98020 Phone: 425-670-8458 Fax: 425-740-0991 | |
Edmonds Eye, Md Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21906 76th Ave W, Edmonds, WA 98026 Phone: 256-733-9904 Fax: 425-673-3993 | |
Dr. Benjamin M Stoebner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7315 212th St Sw Ste 205, Edmonds, WA 98026 Phone: 425-774-2020 Fax: 425-670-8932 | |
Dr. Glen R Owen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7315 212th St Sw, Ste 200, Edmonds, WA 98026 Phone: 425-774-2020 Fax: 425-670-8932 | |
Chris Wallace, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8624-202nd Street Sw, Edmonds, WA 98026 Phone: 206-419-7400 | |
Edmonds Vision Center Ps Inc Optometrist Medicare: Medicare Enrolled Practice Location: 201 5th Ave S Ste 102, Edmonds, WA 98020 Phone: 425-771-7772 Fax: 425-775-9973 |