DENNIS ROCKE POFFENROTH OD
NPI 1417924556
Optometrist in Walla Walla, WA

Q: What is Dennis Poffenroth's NPI number?

The NPI number for Dennis Poffenroth is 1417924556. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Dennis Poffenroth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Dennis Poffenroth was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 08, 2006

22 W MAIN ST, WALLA WALLA, WA 99362(509) 529-2020(509) 529-2115 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dennis Rocke Poffenroth Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS ROCKE POFFENROTH OD (NPI 1417924556) is an individual optometrist in Walla Walla, Washington, licensed in Washington (980TX) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1417924556

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDENNIS ROCKE POFFENROTHCredential: OD

Location Address22 W MAIN STWalla Walla, WA 99362

Mailing AddressPo Box 1138Walla Walla, WA 99362 · (505) 529-2020 · Fax (509) 529-2115

Phone(509) 529-2020

Fax(509) 529-2115

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateAugust 8, 2012

✔ NPI 1417924556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in WA · 980TX✔ Licensed in ID · 848

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

22 W MAIN ST, Walla Walla, WA 99362

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Other Identifiers 17

Medicare UPINT61011

OtherP06984Regence Washington

Other25764891Group Health

Other67003Dept Of Labor And Industr

Other910940489Premera Blue Cross

Other410016582Travelers Medicare Retire

Other410016582Uppr

Other610605300Dept Of Labor Seattle Dfe

Other8886644808Community Health Plan

Other910940489Comercial Claims

Medicare ID-Type Unspecified1346302WA

Medicaid2009470WA

Other022886002Regence Oregon

Other032340000Cigna

OtherT61011Vision Service Plan

Other0323400001Mc Supply Cigna Dmerc Reg

Other5857519Aetna

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA DEE FERGUSON OD

Optometrist