Individual
DR. BRENT ROY PHINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2598
CO
152W00000X
Optometrist
3995TX
WA
152W00000X
Optometrist
Primary
4006
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031227
—
WA
01
—
22095
L&I PROVIDER #
WA
01
—
5493150001
DMERC
WA
01
—
5856769
AETNA
WA
01
—
911035418-BU1061
REGENCE
WA
Enumeration date
10/23/2006
Last updated
07/17/2026
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