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Individual

ANGELA DEE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3572TX
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022886005
REGENCE OREGON
OR
01
032340000
CIGNA
01
0323400001
MC SUPPLY CIGNA DMERC
01
140327
DEPT OF LABOR AND INDUSTR
05
2023836
WA
01
257622800
GROUP HEALTH
01
3044FE
REGENCE WASHINGTON
WA
01
410045308
TRAVELERS MEDICARE
01
610605300
DEPT OF LABOR SEATTLEDFEC
01
7753255
AETNA
01
8886644808
COMMUNITY HEALTH PLAN
WA
01
U82129
VISION SERVICE PLAN
Enumeration date
03/08/2006
Last updated
12/21/2023
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