Individual
DENNIS ROCKE POFFENROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
22 W MAIN ST, WALLA WALLA, WA 99362
(509) 529-2020
(509) 529-2115
Mailing address
PO BOX 1138, WALLA WALLA, WA 99362
(505) 529-2020
(509) 529-2115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
848
ID
152W00000X
Optometrist
Primary
980TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022886002
REGENCE OREGON
—
01
—
032340000
CIGNA
—
01
—
0323400001
MC SUPPLY CIGNA DMERC REG
—
05
—
2009470
—
WA
01
—
25764891
GROUP HEALTH
—
01
—
410016582
TRAVELERS MEDICARE RETIRE
—
01
—
5857519
AETNA
—
01
—
610605300
DEPT OF LABOR SEATTLE DFE
—
01
—
67003
DEPT OF LABOR AND INDUSTR
—
01
—
8886644808
COMMUNITY HEALTH PLAN
—
01
—
910940489
COMERCIAL CLAIMS
—
01
—
P06984
REGENCE WASHINGTON
—
01
—
T61011
VISION SERVICE PLAN
—
Enumeration date
03/08/2006
Last updated
08/08/2012
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