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Contact Information

DENNIS R POFFENROTH, 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 DENNIS R POFFENROTH · (Male)

NPI Number 1417924556
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/08/2006
Last updated 08/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 848
  • WA License # 980TX
  • WA Medicaid 2009470
  • Other 5857519 AETNA
  • Other 032340000 CIGNA
  • Other 910940489 COMERCIAL CLAIMS
  • Other 8886644808 COMMUNITY HEALTH PLAN
  • Other 67003 DEPT OF LABOR AND INDUSTR
  • Other 610605300 DEPT OF LABOR SEATTLE DFE
  • Other 25764891 GROUP HEALTH
  • Other 0323400001 MC SUPPLY CIGNA DMERC REG
  • Other 910940489 PREMERA BLUE CROSS
  • Other 022886002 REGENCE OREGON
  • Other P06984 REGENCE WASHINGTON
  • Other 410016582 TRAVELERS MEDICARE RETIRE
  • Other 410016582 UPPR
  • Other T61011 VISION SERVICE PLAN
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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