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Angelica Rose Sup, O.D.

Optometrist in Edmonds, WA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366522633

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Registry record

Entity type Individual (Type 1)
Name Angelica Rose Sup
Credential O.D.
Sex Female
Practice address 21911 76th Ave W, Suite 101, Edmonds, WA, 98026
Fax (425) 778-2788
Enumeration date Oct 17, 2006
Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License OD00003975 (WA) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
0202735 Other WA L&I PROVIDER NUMBER
2161SU Other WA REGENCE PROVIDER NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Angelica Sup practice?
The practice location on file with NPPES is in Edmonds, WA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Angelica Sup?
The National Provider Identifier (NPI) for Angelica Sup is 1366522633, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.