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Contact Information

ANGELA D FERGUSON, OD
22 W MAIN ST
WALLA WALLA, WA99362
 Phone: 509-529-2020
 Fax: 509-529-2115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ANGELA D FERGUSON · (Female)

NPI # 1194793083
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/08/2006
Last updated 12/21/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 3572TX
  • WA Medicaid 2023836
  • Other 7753255 AETNA
  • Other 032340000 CIGNA
  • Other 140327 DEPT OF LABOR AND INDUSTR
  • Other 610605300 DEPT OF LABOR SEATTLEDFEC
  • Other 257622800 GROUP HEALTH
  • Other 0323400001 MC SUPPLY CIGNA DMERC
  • Other 410045308 TRAVELERS MEDICARE
  • Other 410045308 UPPR
  • Other U82129 VISION SERVICE PLAN
  • OR Other 022886005 REGENCE OREGON
  • WA Other 8886644808 COMMUNITY HEALTH PLAN
  • WA Other 3044FE REGENCE WASHINGTON
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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