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
- Primary practice
-
21911 76Th Ave W, Suite 101
Edmonds, WA 980267903
(425) 774-7723
fax (425) 778-2788
Credentials & registration
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366522633. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$103
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Biotissue Holdings INC. | 2 | $103.00 |
By nature of payment
Frequently asked questions
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.