Doctor profile · Federal record

Dr. Angelica Sup, O.D.

Optometrist · Edmonds, WA

  • NPI 1366522633
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
21911 76Th Ave W, Suite 101
Edmonds, WA 980267903
(425) 774-7723
fax (425) 778-2788

Credentials & registration

NPPES · NUCC
NPI registered
October 2006 — 20 yrs on file
Profile last updated
July 9, 2007
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Washington #OD00003975

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1366522633. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$103
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Biotissue Holdings INC. 2 $103.00

By nature of payment

Food and Beverage
$103

Frequently asked questions

Auto-generated from federal data
What is Dr. Angelica Sup's medical specialty?
Dr. Angelica Sup practices Optometrist in Edmonds, WA.
Where does Dr. Angelica Sup practice?
Dr. Angelica Sup practices at 21911 76Th Ave W, Edmonds, WA 980267903. Office phone: 4257747723.
What is Dr. Angelica Sup's NPI?
Dr. Angelica Sup's National Provider Identifier (NPI) is 1366522633, issued by NPPES.