Angelica Rose Sup, O.D.
Optometrist · Edmonds, WA
Angelica Rose Sup, O.D. is an optometrist with a practice address in Edmonds, Washington, and NPI 1366522633, issued on Oct 17, 2006. Check the license (Washington OD00003975, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Angelica Rose Sup
- Credential
- O.D.
- Primary taxonomy
- Optometrist 152W00000X
- License number
- OD00003975 WA
Self-reported in NPPES; status is on the state search - Practice location
- 21911 76TH Ave W, Edmonds, WA 98026
- Phone
- (425) 774-7723
- Enumerated
- Oct 17, 2006
- Record last updated
- Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (425) 778-2788
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,641 in Washington → Look up another NPI →
Also registered at 21911 76TH Ave W
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Angelica Rose Sup in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license OD00003975Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $103.00
2 payments; by number, the most common kind was food and beverage; the largest payer was Biotissue Holdings Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Angelica Rose Sup among 1,641 optometrist records in Washington
Angelica Rose Sup, O.D. is one of 1,641 optometrist records with a practice address in Washington. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 62% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileNo · 58% of these records are
- Record last updated2007 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Optometrist providers in Washington
There are 1,641 optometrist records in Washington.
All 1,641 in Washington → Every provider in Edmonds → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Monica Chan, ODEdmonds, WA 980261598378416
- Bryan Karrick, O.D.Edmonds, WA 980261588754253
- Michael Medin, O.D.Edmonds, WA 980261730279498
- Glen Owen, O.D.Edmonds, WA 980261174613715
- David Riggs, ODEdmonds, WA 980261588653612
- Benjamin Stoebner, O.D.Edmonds, WA 980261144384520
- Randy Wong, O.D.Edmonds, WA 980261457345563
- Stephan Cassidy, O.D.Issaquah, WA 980271679630867
Common questions
What is Angelica Rose Sup, O.D.'s NPI number?
Angelica Rose Sup, O.D.'s National Provider Identifier (NPI) is 1366522633, issued on Oct 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Angelica Rose Sup, O.D. located?
The NPPES record lists a practice address at 21911 76TH Ave W, Edmonds, WA, 98026. Phone: (425) 774-7723. Providers update this record themselves, so call before visiting.
How can I verify Angelica Rose Sup, O.D.'s license?
NPPES lists Washington license number OD00003975, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.