Dennis R Poffenroth (NPI# 1417924556, PAC ID# 6709920473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417924556 |
| PAC ID by PECOS | 6709920473 |
| Professional Enrollment ID | I20100218000358 |
| Full Name | Dennis R Poffenroth |
| Organization Legal Name | VALLEY VISION CLINIC PS |
| Address |
22 W Main St Walla Walla WA 99362-2816 |
| Phone Number | 5095292020111 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1970 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7416845508 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22 W Main St, Walla Walla, WA 99362-2816 | 5095292020111 | VALLEY VISION CLINIC PS |
| Organization Legal Name | VALLEY VISION CLINIC PS |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela D Ferguson | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Justin Colin Dalke | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Richard Howell Harrison | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Luther O Ness | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Jeremy V Beam | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Street Address |
22 W MAIN ST |
| City | WALLA WALLA |
| State | WA |
| Zip | 99362-2816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Paul Goldberg | Internal Medicine | David D Thompson Jr and Robert A Linden Ptr | 22 W Main St, Niantic, CT 06357-2399 |
| Angela D Ferguson | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Justin Colin Dalke | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| David Duval Thompson | Internal Medicine | David D Thompson Jr and Robert A Linden Ptr | 22 W Main St, Niantic, CT 06357-2399 |
| Abel Alex Donka | Internal Medicine | David D Thompson Jr and Robert A Linden Ptr | 22 W Main St, Niantic, CT 06357-2399 |
| Richard Howell Harrison | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Luther O Ness | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Jeremy V Beam | Optometry | Valley Vision Clinic Ps | 22 W Main St, Walla Walla, WA 99362-2816 |
| Constantine A Manthous | Critical Care (intensivists) | David D Thompson Jr and Robert A Linden Ptr | 22 W Main St, Niantic, CT 06357-2399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Wallace | Clinical Social Worker | 19 E Birch, Suite 103, Walla Walla, WA 99362 | |
| Susan L Stough | Clinical Social Worker | 409 E Sumach St, Suite 6, Walla Walla, WA 99362-1202 | |
| Natasha Anne Rustad | Clinical Social Worker | 409 E Sumach St, Rustad Counseling LLC, Walla Walla, WA 99362-1202 | |
| Pavel S Blagov | Clinical Psychologist | 409 E Sumach St, Suite 3, Walla Walla, WA 99362-1202 | |
| Robert L Stough Jr. | Psychologist, Clinical | 409 E Sumach St, Walla Walla, WA 99362-1228 | |
| Chance Higginbotham | Chiropractic | 2200 Melrose St, 7a, Walla Walla, WA 99362-1579 | |
| Alayna M Brinton | Clinical Social Worker | 2330 Eastgate St, Suite 140, Walla Walla, WA 99362-1589 | |
| Sean Thomas Duffy | Family Medicine | Yakima Valley Farm Workers Clinic | 1120 W Rose St, Walla Walla, WA 99362-1662 |
| Bradley K Nielson | Optometry | 208 N 2nd Ave, Walla Walla, WA 99362-1806 | |
| Eric John Wiessner | Optometry | 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073 | |
| Find all physicians in zip 99362 | |||
| City | WALLA WALLA |
| Zip Code | 99362 |
| Specialty | OPTOMETRY |
| City + Specialty | WALLA WALLA + OPTOMETRY |
Please comment or provide details below to improve the information on Dennis R Poffenroth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.