Individual
DENNIS ROCKE POFFENROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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