Angelica Rose Sup in Edmonds - Optometrist
Angelica Rose Sup - NPI 1366522633
Angelica Rose Sup is a Optometrist in Edmonds, Washington. Angelica Rose Sup practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Angelica Rose Sup is 1366522633. The last update date is 2007-07-09.
Angelica Rose Sup's current location address is 21911 76th Ave W, Edmonds, Washington. You can contact this provider via phone number 4257747723 and fax number 4257782788. The mailing address for Angelica Rose Sup is 21911 76th Ave W, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelica Rose Sup |
|---|---|
| Address | 21911 76th Ave W, Edmonds, Washington |
| Phone Number | 4257747723 |
| Fax Number | 4257782788 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1366522633 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 21911 76th Ave W |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980267903 |
| Phone Number | 4257747723 |
| Fax Number | 4257782788 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD00003975 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202735 | WA | L&I PROVIDER NUMBER | |
| 2161SU | WA | REGENCE PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Angelica Rose Sup by the Centers for Medicare & Medicaid Services?
The Angelica Rose Sup has been assigned the NPI (National Provider Identifier) 1366522633 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Angelica Rose Sup?
The Angelica Rose Sup is physically situated at 21911 76Th Ave W, in the city of Edmonds, state of WA, with the postal code 980267903.
What is Angelica Rose Sup's area of expertise and its corresponding taxonomy classification?
The Angelica Rose Sup's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Angelica Rose Sup receive the assignment of its 1366522633 from the Centers for Medicare & Medicaid Services?
The Angelica Rose Sup was issued its 1366522633 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date was the information pertaining to Angelica Rose Sup, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Angelica Rose Sup, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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